• Echo declined - go to this
• Exclusion codes - go to this
• Rationale - go to this

Confirmed by an echocardiogram or by specialist assessment.

(Added 3 months before diagnosis or up to 12 months after)

Echocardiogram codes

5853. U-S heart scan

58531 Echocardiogram abnormal

585f. Echocardiogram shows left ventricular systolic dysfunction

585g. Echocardiogram shows left ventricular diastolic dysfunction

5C20. Echocardiogram equivocal

33BD. Echocardiogram requested

8HQ7. Referral for echocardiography

R1320 [D]Echocardiogram abnormal

R1322 [D]Ultrasound cardiogram abnormal

5531. Angiocardiography awaited

5532. Angiocardiography normal

5533. Angiocardiography abnormal

5538. Angiocardiography equivocal

79380 Angiocardiography of both right and left sides of heart

79382 Angiocardiography of left side of heart NEC

8H4R. Referral to cardiology special interest general practitioner

8HVJ. Private referral to cardiologist

8H44. Cardiological referral

Echo Declined (Only lasts for 12 months after diagnosis)

56F1. Echocardiogram declined

5534. Angiocardiography declined

Heart Failure (diagnosed after the 1st April 2006)

G58.. Heart failure

G580. Congestive heart failure

G5800 Acute congestive heart failure

G5801 Chronic congestive heart failure

G5802 Decompensated cardiac failure

G5803 Compensated cardiac failure

G581. Left ventricular failure

G5810 Acute left ventricular failure

G582. Acute heart failure

G58z. Heart failure NOS

G1yz1 Rheumatic left ventricular failure

662f. New York Heart Association classification - class I (v9)

662g. New York Heart Association classification - class II (v9)
662h. New York Heart Association classification - class III (v9)
662i. New York Heart Association classification - class IV (v9)

 

Exclusion codes (Every 15 months)

9h1.. Exception reporting: LVD quality indicators (v10)

9h11. Excepted from LVD quality indicators: Patient unsuitable (v10)

9h12. Excepted from LVD quality indicators: Informed dissent (v10)

 

9hH.. Exception reporting: heart failure quality indicators (v9)

9hH0. Excepted from heart failure quality indicators: Patient unsuitable (v9)

9hH1. Excepted from heart failure quality indicators: Informed dissent (v9)

Heart failure 2.1 Rationale

From April 2006, all patients with suspected heart failure should be investigated (Senni et al. J Am Coll Cardiol. 1999; 33(1): 164-70; NICE clinical guideline 5. National Institute for Health and Clinical Excellence, London: 2003) and this is expected to involve, as a minimum, specialist investigation (such as echocardiography or natiuretic peptide assay) and often specialist opinion. Specialists may include GPs identified by their PCO as having a special clinical interest in heart failure. Many heart failure patients will be diagnosed following specialist referral or during hospital admission and some will also have their diagnosis confirmed by tests such as cardiac scintography or angiography rather than echocardiography. Current guidance (Remme et al. Eur Heart J 2001; 22: 1527-60) requires either echocardiography or specialist assessment for all patients with suspected heart failure, regardless of presumed aetiology.

Further information: www.nice.org.uk/nicemedia/pdf/CG5NICEguideline.pdf

Heart failure 2.2 Reporting and verification

The practice reports those patients in whom a new diagnosis of heart failure has been made since 1 April 2006 who have had an echocardiogram or been referred to a specialist within 12 months of being added to the register. The practice may also include patients who have been referred up to three months before being added to the register.

Prepared By Jean Keenan