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BP codes

BP Exception code (added in the last 12 months)

8I3Y. Blood pressure procedure refused

Maximum BP therapy (In last 12 months)

8BL0. Patient on maximal tolerated antihypertensive therapy

BP Codes (In last 12 months)

The latest Systolic <=150 and Diastolic <=90

246% O/E - blood pressure reading,


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
246h. Arterial pulse pressure
246i. Diastolic blood pressure centile
246j. Systolic blood pressure centile
246k. Unequal blood pressure in arms

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
246a. Average night interval diastolic blood pressure
246b. Average night interval systolic blood pressure
246c. Average home diastolic blood pressure
246d. Average home systolic blood pressure
246e. Ambulatory systolic blood pressure
246f. Ambulatory diastolic blood pressure
246g. Self measured blood pressure reading
246l. Average systolic blood pressure
246m. Average diastolic blood pressure
246n. Baseline blood pressure (v30)

STIA 003.1 Rationale

This indicator measures the intermediate health outcome of a blood pressure of 150/90 or less in patients with hypertension and CHD. Its intent is to promote the secondary prevention of CVD through satisfactory blood pressure control. This intermediate outcome can be achieved through lifestyle advice and the use of drug therapy.

In one major overview, a long-term difference of 5 - 6 mmHg in usual diastolic blood pressure (DBP) is associated with approximately 35 - 40 per cent less stroke over five years. The PROGRESS trial demonstrated that blood pressure lowering reduces stroke risk in patients with prior stroke or TIA.

The NICE clinical guideline on Hypertension (2011) sets blood pressure thresholds for the initiation of drug treatment of hypertension and these are outlined in the rationale for the hypertension domain. To summarise, all patients aged under 80 years with CVD and stage 1 hypertension (clinic blood pressure is 140/90 mmHg or higher and subsequent ambulatory blood pressure monitoring (ABPM) daytime average or home blood pressure monitoring (HBPM) average blood pressure is 135/85 mmHg or higher) are recommended drug therapy for hypertension.

The SIGN clinical guideline (2008) recommends that patients who have had a stroke or TIA and have hypertension should be treated to less than 140/85 mm Hg.

The NICE clinical guideline on Hypertension (2011) recommends a target clinic blood pressure below 140/90 mmHg in patients aged under 80 years with treated hypertension and a clinic blood pressure below 150/90 mmHg in patients aged 80 years and over, with treated hypertension.

For the purpose of QOF, an audit standard of 150/90 has been adopted.

Further information

SIGN guideline 108 (2008). The Management of patients with stroke or TIA.

RCP Stroke Guideline (2008).

NICE clinical guideline CG127 (2011). Hypertension.

Collins et al. Lancet 1990; 335: 827-38
PROGRESS Collaborative Group, Lancet 2001; 358:1033-41

STIA 003.2 Reporting and verification

See indicator wording for requirement criteria.


Prepared By Jean Keenan