BP codes
BP Exception code (Added in the last 15 months)
- 8I3Y. Blood pressure procedure refused
Maximum BP therapy (Added in last 15 months)
8BL0. Patient on maximal tolerated antihypertensive therapy
BP Codes (Added in last 15 months)
The latest Systolic <=150 and Diastolic <=90
246% O/E - blood pressure reading,
Excluding:
- 2460 O/E - BP unrecordable (v7)
- 2468. O/E - BP reading:postural drop
- 246H. O/E - Arterial pressure index normal
- 246I. O/E - Arterial pressure index abnormal
- 246K. Target systolic blood pressure
- 246L. Target diastolic blood pressure
- 246M. White coat hypertension
In detail:
- 246. O/E - blood pressure reading
- 2461. O/E - BP reading very low
- 2462. O/E - BP reading low
- 2463. O/E - BP borderline low
- 2464. O/E - BP reading normal
- 2465. O/E - BP borderline raised
- 2466. O/E - BP reading raised
- 2467. O/E - BP reading very high
- 2469. O/E - Systolic BP reading
- 246A. O/E - Diastolic BP reading
- 246B. O/E - BP stable
- 246C. Lying blood pressure reading
- 246D. Standing blood pressure reading
- 246E. Sitting blood pressure reading
- 246F. O/E - blood pressure decreased
- 246G. O/E - BP labile
- 246J. O/E - BP reading: no postural drop
- 246N. Standing systolic blood pressure
- 246P. Standing diastolic blood pressure
- 246Q. Sitting systolic blood pressure
- 246R. Sitting diastolic blood pressure
- 246S. Lying systolic blood pressure
- 246T. Lying diastolic blood pressure
- 246Z. O/E-blood pressure reading NOS

CHD 6.1 Rationale
The British Hypertension Society guidelines propose an optimal
blood pressure of 140 mm Hg or less systolic and 85 mm Hg or less diastolic
for patients with CHD. This guideline also proposes a pragmatic audit standard
of a blood pressure reading of 150/90 or less.
Further Information: (www.bhsoc.org/NICE_BHS_Guidelines.stm).
A major overview of randomised trials showed that a reduction
of 5–6 mm Hg in blood pressure sustained over five years reduces coronary events
by 20–25% in patients with coronary heart disease (Collins et al. Lancet 1990;
335: 827–38).
CHD 6.2 Reporting and verification
Practices should report the percentage of patients on the CHD
register whose last recorded blood pressure is 150/90 or less. This reading
should have been taken in the previous 15 months.

Prepared By Jean Keenan