BP codes
BP Exception code (Added in the last 15 months)
- 8I3Y. Blood pressure procedure refused
Maximum BP therapy (In last 15 months)
8BL0. Patient on maximal tolerated antihypertensive therapy
BP Codes (In last 15 months)
The latest Systolic <=145 and Diastolic <=85
246% O/E - blood pressure reading,
Excluding:
- 2460 O/E - BP unrecordable (v7)
- 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
- 2468. O/E - BP reading:postural drop
- 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
DM 12.1 Rationale
Blood pressure lowering in people with diabetes reduces the risk
of macrovascular and microvascular disease. Hypertension in people with diabetes
should be treated aggressively with lifestyle modification and drug therapy.
Grade A Recommendation SIGN 55
The most commonly identified target level for blood pressure in
patients with diabetes is 140/80. This is the level that health professionals
should aim for. A slightly higher level (145/85) is used as the audit standard
in common with other indicators.
Further information: www.sign.ac.uk/guidelines/fulltext/55/index.html
Guidelines
for management of hypertension: report of the fourth working party of the British
Hypertension Society, 2004 BHS IV
Journal
of Human Hypertension 2004, 18(3), 139-185
www.bhsoc.org/Latest_BHS_management_Guidelines.stm
NICE inherited guideline H
www.nice.org.uk/page.aspx?o=38551
DM 12.2 Reporting and verification
The practice should report the percentage of patients on the diabetic
register in which the last blood pressure measurement was 145/85 or less. The
pressure must have been measured in the previous 15 months.
Prepared By Jean Keenan