BP codes
BP Exception code
- 8I3Y. Blood pressure procedure refused
BP Codes (In last 15 months)
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
Stroke 5.1 Rationale
All patients should have their blood pressure checked and hypertension
persisting for over two weeks should be treated. The British Hypertension Society
guidelines state that optimal blood pressure treatment targets are systolic
pressure less than or equal to 140 mmHg and diastolic blood pressure (DBP) less
than or equal to 85 mmHg. The proposed audit standard is less than or equal
to 150/90.
In one major overview, a long-term difference of 5–6 mmHg in usual
DBP is associated with approximately 35–40% less stroke over five years. (Collins
et al. Lancet 1990; 335: 827-38). The PROGRESS trial demonstrated that blood
pressure lowering reduces stroke risk in people with prior stroke or TIA. (PROGRESS
Collaborative Group, Lancet 2001; 358:1033-41).
Grade A Recommendation RCP Stroke Guideline 2004
Further information: www.rcplondon.ac.uk/pubs/books/stroke/index.htm
Stroke 5.2 Reporting and verification
Practices should report the percentage of patients on the stroke/TIA
register who have had their blood pressure recorded in the last 15 months.
Prepared By Jean Keenan