QOF QOF 2008/2009

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Stroke codes

G61.. Intracerebral haemorrhage
G610. Cortical haemorrhage
G611. Internal capsule haemorrhage
G612. Basal nucleus haemorrhage
G613. Cerebellar haemorrhage
G614. Pontine haemorrhage
G615. Bulbar haemorrhage
G616. External capsule haemorrhage
G618. Intracerebral haemorrhage, multiple localized
G61X. Intracerebral haemorrhage in hemisphere, unspecified
G61X0 Left sided intracerebral haemorrhage, unspecified
G61X1 Right sided intracerebral haemorrhage, unspecified
G61z. Intracerebral haemorrhage NOS
G63y0 Cerebral infarct due to thrombosis of precerebral arteries
G63y1 Cerebral infarction due to embolism of precerebral arteries
G64.. Cerebral arterial occlusion
G640. Cerebral thrombosis
G6400 Cerebral infarction due to thrombosis of cerebral arteries
G641. Cerebral embolism
G6410 Cerebral infarction due to embolism of cerebral arteries
G64z. Cerebral infarction NOS
G64z0 Brainstem infarction
G64z1 Wallenberg syndrome
G64z2 Left sided cerebral infarction
G64z3 Right sided cerebral infarction
G64z4 Infarction of basal ganglia

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G66.. Stroke and cerebrovascular accident unspecified
G660. Middle cerebral artery syndrome
G661. Anterior cerebral artery syndrome
G662. Posterior cerebral artery syndrome
G663. Brain stem stroke syndrome
G664. Cerebellar stroke syndrome
G665. Pure motor lacunar syndrome
G666. Pure sensory lacunar syndrome
G667. Left sided CVA
G668. Right sided CVA
G669. 00 Cerebral palsy, not congenital or infantile, acute

G6760 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
G6W.. Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries
G6X.. Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries
Gyu62 [X]Other intracerebral haemorrhage (v9)
Gyu63 [X]Cerebrl infarctn due/unspci occlusn or sten/cerebrl artrs (v9)
Gyu64 [X]Other cerebral infarction (v9)
Gyu65 [X]Occlusion and stenosis of other precerebral arteries (v9)
Gyu66 [X]Occlusion and stenosis of other cerebral arteries (v9)
Gyu6F [X]Intracerebral haemorrhage in hemisphere, unspecified (v9)
Gyu6G [X]Cereb infarct due unsp occlus/stenos precerebr arteries (v9)

TIA Codes

G65.. Transient cerebral ischaemia
G650. Basilar artery syndrome
G651. Vertebral artery syndrome
G6510 Vertebro-basilar artery syndrome
G652. Subclavian steal syndrome
G653. Carotid artery syndrome hemispheric
G654. Multiple and bilateral precerebral artery syndromes
G656. Vertebrobasilar insufficiency
G65y. Other transient cerebral ischaemia
G65z. Transient cerebral ischaemia NOS
G65z0 Impending cerebral ischaemia
G65z1 Intermittent cerebral ischaemia
G65zz Transient cerebral ischaemia NOS
F4236 Amaurosis fugax

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Stroke 1.1 Rationale

A register is a prerequisite for monitoring patients with stroke or TIA.

For patients diagnosed prior to April 2003, it is accepted that various diagnostic criteria may have been used. For this reason the presence of the diagnosis of stroke or TIA in the records will be acceptable. Generally, patients with a diagnosis of transient global amnesia or vertebro-basilar insufficiency should not be included in the retrospective register. However, practices may wish to review patients previously diagnosed and if appropriate attempt to confirm the diagnosis.

As with other conditions, it is up to the practice to decide, on clinical grounds, when to include a patient, e.g. when a ‘dizzy spell’ becomes a TIA.

Stroke 1.2 Reporting and verification

The practice reports the number of patients on its stroke/TIA disease register and the number of patients on its stroke/TIA register as a proportion of total list size.

Verification – PCOs may compare the expected prevalence with the reported prevalence.

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Prepared By Jean Keenan