Code List: CMS135v6, Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

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Item	Codes
Active Diagnosis Codes
Diagnosis: Heart Failure: ICD-9	402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, 428.9
Diagnosis: Heart Failure: ICD-10	I11.0, I13.0, I13.2, I50.1, I50.20, I50.21, I50.22, I50.23, I50.30, I50.31, I50.32, I50.33, I50.40, I50.41, I50.42, I50.43, I50.810, I50.811, I50.812, I50.813, I50.814, I50.82, I50.83, I50.84, I50.89, I50.9
Diagnosis: Heart Failure: SNOMED	10091002, 10335000, 10633002, 111283005, 128404006, 194767001, 194779001, 194781004, 195111005, 195112003, 195114002, 206586007, 233924009, 25544003, 277639002, 314206003, 359617009, 359620001, 364006, 367363000, 410431009, 417996009, 418304008, 42343007, 424404003, 426012001, 426263006, 426611007, 43736008, 441481004, 441530006, 44313006, 46113002, 48447003, 5053004, 5148006, 5375005, 56675007, 60856006, 66989003, 74960003, 77737007, 80479009, 82523003, 83105008, 84114007, 85232009, 88805009, 90727007, 92506005
Left Ventricular Systolic Dysfunction Diagnosis Codes
Diagnosis: Left Ventricular Systolic Dysfunction: SNOMED	134401001
Diagnosis: Moderate or Severe LVSD: SNOMED	981000124106, 991000124109
Ejection Fracture Study Codes
Diagnostic Study, Performed: Ejection Fraction: LOINC	8808-8, 8809-6, 8806-2, 8810-4, 8807-0, 8811-2, 8812-0, 10230-1, 18044-8, 18048-9, 18045-5, 18049-7, 18043-0, 18046-3, 18047-1, 77892-8, 77889-4, 77890-2, 77891-0, 79990-8, 79991-6, 79992-4, 79993-2
Encounter Codes
Encounter, Performed: Care Services in Long-Term Residential Facility: CPT	99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
Encounter, Performed: Discharge Services – Hospital Inpatient: CPT	99238, 99239
Encounter, Performed: Face-to-Face Interaction: SNOMED	12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter, Performed: Home Healthcare Services: CPT	99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Nursing Facility Visit: CPT	99304, 99305, 99306, 99307, 99308, 99309, 99310
Encounter, Performed: Office Visit: CPT	99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Outpatient Consultation: CPT	99241, 99242, 99243, 99244, 99245
Encounter, Performed: Patient Provider Interaction: SNOMED	11797002, 12843005, 18170008, 185316007, 185317003, 185318008, 185320006, 185321005, 185349003, 185463005, 185465003, 19681004, 207195004, 270424005, 270427003, 270430005, 308335008, 308720009, 386473003, 390906007, 401267002, 401271004, 406547006, 438515009, 438516005, 439708006, 445450000, 448337001, 4525004, 87790002, 90526000
Medications/Medication Ingredients
Medication: ACE inhibitor or ARB: Description (RXNORM code)	24 HR trandolapril 1 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet (897781); 24 HR trandolapril 2 MG / Verapamil hydrochloride 180 MG Extended Release Oral Tablet (897783); 24 HR trandolapril 2 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet (897844); 24 HR trandolapril 4 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet (897853); Amlodipine 10 MG / Benazepril hydrochloride 20 MG Oral Capsule (898342); Amlodipine 10 MG / Benazepril hydrochloride 40 MG Oral Capsule (898346); Amlodipine 10 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet (999986); Amlodipine 10 MG / Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet (848131); Amlodipine 10 MG / Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet (999991); Amlodipine 10 MG / Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet (848151); Amlodipine 10 MG / Hydrochlorothiazide 25 MG / valsartan 320 MG Oral Tablet (848135); Amlodipine 10 MG / Olmesartan medoxomil 20 MG Oral Tablet (730861); Amlodipine 10 MG / Olmesartan medoxomil 40 MG Oral Tablet (730866); Amlodipine 10 MG / Perindopril arginine 14 MG Oral Tablet (1600716); Amlodipine 10 MG / telmisartan 40 MG Oral Tablet (876514); Amlodipine 10 MG / telmisartan 80 MG Oral Tablet (876519); Amlodipine 10 MG / valsartan 160 MG Oral Tablet (722126); Amlodipine 10 MG / valsartan 320 MG Oral Tablet (722131); Amlodipine 2.5 MG / Benazepril hydrochloride 10 MG Oral Capsule (898350); Amlodipine 2.5 MG / Perindopril arginine 3.5 MG Oral Tablet (1600724); Amlodipine 5 MG / Benazepril hydrochloride 10 MG Oral Capsule (898353); Amlodipine 5 MG / Benazepril hydrochloride 20 MG Oral Capsule (898356); Amlodipine 5 MG / Benazepril hydrochloride 40 MG Oral Capsule (898359); Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 20 MG Oral Tablet (999967); Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet (999996); Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet (848140); Amlodipine 5 MG / Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet (1000001); Amlodipine 5 MG / Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet (848145); Amlodipine 5 MG / Olmesartan medoxomil 20 MG Oral Tablet (730869); Amlodipine 5 MG / Olmesartan medoxomil 40 MG Oral Tablet (730872); Amlodipine 5 MG / Perindopril arginine 7 MG Oral Tablet (1600728); Amlodipine 5 MG / telmisartan 40 MG Oral Tablet (876524); Amlodipine 5 MG / telmisartan 80 MG Oral Tablet (876529); Amlodipine 5 MG / valsartan 160 MG Oral Tablet (722134); Amlodipine 5 MG / valsartan 320 MG Oral Tablet (722137); azilsartan medoxomil 40 MG / Chlorthalidone 12.5 MG Oral Tablet (1235144); azilsartan medoxomil 40 MG / Chlorthalidone 25 MG Oral Tablet (1235151); azilsartan medoxomil 40 MG Oral Tablet (1091646); azilsartan medoxomil 80 MG Oral Tablet (1091652); Benazepril hydrochloride 10 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (898362); Benazepril hydrochloride 10 MG Oral Tablet (898687); Benazepril hydrochloride 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (898367); Benazepril hydrochloride 20 MG / Hydrochlorothiazide 25 MG Oral Tablet (898372); Benazepril hydrochloride 20 MG Oral Tablet (898690); Benazepril hydrochloride 40 MG Oral Tablet (898719); Benazepril hydrochloride 5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet (898378); Benazepril hydrochloride 5 MG Oral Tablet (898723); candesartan cilexetil 16 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (578325); candesartan cilexetil 16 MG Oral Tablet (577776); candesartan cilexetil 32 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (578330); candesartan cilexetil 32 MG / Hydrochlorothiazide 25 MG Oral Tablet (802749); candesartan cilexetil 32 MG Oral Tablet (639537); candesartan cilexetil 4 MG Oral Tablet (153822); candesartan cilexetil 8 MG Oral Tablet (153823); Captopril 100 MG Oral Tablet (308962); Captopril 12.5 MG Oral Tablet (308963); Captopril 25 MG / Hydrochlorothiazide 15 MG Oral Tablet (197436); Captopril 25 MG / Hydrochlorothiazide 25 MG Oral Tablet (197437); Captopril 25 MG Oral Tablet (317173); Captopril 50 MG / Hydrochlorothiazide 15 MG Oral Tablet (197438); Captopril 50 MG / Hydrochlorothiazide 25 MG Oral Tablet (197439); Captopril 50 MG Oral Tablet (308964); Captopril 6.25 MG Oral Tablet (247516); Cilazapril 0.5 MG Oral Tablet (199707); Cilazapril 1 MG Oral Tablet (199937); Cilazapril 2.5 MG Oral Tablet (199708); Cilazapril 5 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (249851); Cilazapril 5 MG Oral Tablet (199709); Enalapril Maleate 1 MG/ML Oral Solution (1435624); Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet (858828); Enalapril Maleate 10 MG Oral Tablet (858817); Enalapril Maleate 2.5 MG Oral Tablet (858804); Enalapril Maleate 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (858921); Enalapril Maleate 20 MG Oral Tablet (858810); Enalapril Maleate 5 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (858824); Enalapril Maleate 5 MG Oral Tablet (858813); eprosartan 600 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (351292); eprosartan 600 MG / Hydrochlorothiazide 25 MG Oral Tablet (351293); eprosartan 600 MG Oral Tablet (310140); Fosinopril Sodium 10 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (857166); Fosinopril Sodium 10 MG Oral Tablet (857169); Fosinopril Sodium 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet (857174); Fosinopril Sodium 20 MG Oral Tablet (857183); Fosinopril Sodium 40 MG Oral Tablet (857187); Hydrochlorothiazide 12.5 MG / irbesartan 150 MG Oral Tablet (310792); Hydrochlorothiazide 12.5 MG / irbesartan 300 MG Oral Tablet (310793); Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG Oral Tablet (197885); Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG Oral Tablet (197886); Hydrochlorothiazide 12.5 MG / Losartan Potassium 100 MG Oral Tablet (979464); Hydrochlorothiazide 12.5 MG / Losartan Potassium 50 MG Oral Tablet (979468); Hydrochlorothiazide 12.5 MG / Moexipril hydrochloride 15 MG Oral Tablet (1299859); Hydrochlorothiazide 12.5 MG / Moexipril hydrochloride 7.5 MG Oral Tablet (1299871); Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 20 MG Oral Tablet (403853); Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet (403854); Hydrochlorothiazide 12.5 MG / quinapril 10 MG Oral Tablet (310796); Hydrochlorothiazide 12.5 MG / quinapril 20 MG Oral Tablet (310797); Hydrochlorothiazide 12.5 MG / telmisartan 40 MG Oral Tablet (283316); Hydrochlorothiazide 12.5 MG / telmisartan 80 MG Oral Tablet (283317); Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet (200285); Hydrochlorothiazide 12.5 MG / valsartan 320 MG Oral Tablet (636042); Hydrochlorothiazide 12.5 MG / valsartan 80 MG Oral Tablet (200284); Hydrochlorothiazide 25 MG / irbesartan 300 MG Oral Tablet (485471); Hydrochlorothiazide 25 MG / Lisinopril 20 MG Oral Tablet (197887); Hydrochlorothiazide 25 MG / Losartan Potassium 100 MG Oral Tablet (979471); Hydrochlorothiazide 25 MG / Moexipril hydrochloride 15 MG Oral Tablet (1299890); Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet (403855); Hydrochlorothiazide 25 MG / quinapril 20 MG Oral Tablet (310809); Hydrochlorothiazide 25 MG / telmisartan 80 MG Oral Tablet (477130); Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet (349353); Hydrochlorothiazide 25 MG / valsartan 320 MG Oral Tablet (636045); irbesartan 150 MG Oral Tablet (200095); irbesartan 300 MG Oral Tablet (200096); irbesartan 75 MG Oral Tablet (200094); Lisinopril 10 MG Oral Tablet (314076); Lisinopril 2.5 MG Oral Tablet (311353); Lisinopril 20 MG Oral Tablet (314077); Lisinopril 30 MG Oral Tablet (205326); Lisinopril 40 MG Oral Tablet (197884); Lisinopril 5 MG Oral Tablet (311354); Losartan Potassium 100 MG Oral Tablet (979480); Losartan Potassium 25 MG Oral Tablet (979485); Losartan Potassium 50 MG Oral Tablet (979492); Moexipril hydrochloride 15 MG Oral Tablet (1299896); Moexipril hydrochloride 7.5 MG Oral Tablet (1299897); Olmesartan medoxomil 20 MG Oral Tablet (349401); Olmesartan medoxomil 40 MG Oral Tablet (349405); Olmesartan medoxomil 5 MG Oral Tablet (349373); Perindopril Erbumine 2 MG Oral Tablet (854984); Perindopril Erbumine 4 MG Oral Tablet (854988); Perindopril Erbumine 8 MG Oral Tablet (854925); quinapril 10 MG Oral Tablet (312748); quinapril 20 MG Oral Tablet (312749); quinapril 40 MG Oral Tablet (314203); quinapril 5 MG Oral Tablet (312750); Ramipril 1.25 MG Oral Capsule (845488); Ramipril 10 MG Oral Capsule (261962); Ramipril 2.5 MG Oral Capsule (198188); Ramipril 5 MG Oral Capsule (198189); sacubitril 24 MG / valsartan 26 MG Oral Tablet (1656340); sacubitril 49 MG / valsartan 51 MG Oral Tablet (1656349); sacubitril 97 MG / valsartan 103 MG Oral Tablet (1656354); telmisartan 20 MG Oral Tablet (282755); telmisartan 40 MG Oral Tablet (205304); telmisartan 80 MG Oral Tablet (205305); trandolapril 0.5 MG Oral Capsule (199622); trandolapril 1 MG Oral Capsule (199816); trandolapril 1 MG Oral Tablet (199353); trandolapril 2 MG Oral Capsule (199817); trandolapril 2 MG Oral Tablet (199351); trandolapril 4 MG Oral Capsule (411434); trandolapril 4 MG Oral Tablet (199352); valsartan 160 MG Oral Tablet (349201); valsartan 320 MG Oral Tablet (349200); valsartan 40 MG Oral Tablet (349483); valsartan 80 MG Oral Tablet (349199)
Medication : ACE inhibitor or ARB Ingredient	benazepril (18867); candesartan (214354); Captopril (1998); Enalapril (3827); eprosartan (83515); Fosinopril (50166); irbesartan (83818); Lisinopril (29046); Losartan (52175); moexipril (30131); olmesartan (321064); Perindopril (54552); quinapril (35208); Ramipril (35296); telmisartan (73494); trandolapril (38454); valsartan (69749)
Exceptions: Diagnosis of Allergy/ Intolerance, Pregnancy, or Renal Failure
Diagnosis: Allergy to ACE inhibitor or ARB: SNOMED	609534005, 609537003, 609538008, 609539000, 609540003, 609541004, 609542006, 609543001, 609544007, 609545008, 609546009, 609549002, 609550002
Diagnosis: Intolerance to ACE Inhibitor or ARB: SNOMED	293500009, 293501008, 293502001, 293503006, 293504000, 293505004, 293506003, 293507007, 293508002, 293509005, 293513003, 371627004, 407564000, 407565004, 407590002, 422593004
Diagnosis: Pregnancy: ICD-10	O00.1, O00.10, O00.101, O00.102, O00.109, O00.11, O00.111, O00.112, O00.119, O00.2, O00.20, O00.201, O00.202, O00.209, O00.21, O00.211, O00.212, O00.219, O00.8, O00.80, O00.81, O00.9, O00.90, O00.91, O09.00, O09.01, O09.02, O09.03, O09.10, O09.11, O09.12, O09.13, O09.211, O09.212, O09.213, O09.219, O09.291, O09.292, O09.293, O09.299, O09.30, O09.31, O09.32, O09.33, O09.40, O09.41, O09.42, O09.43, O09.511, O09.512, O09.513, O09.519, O09.521, O09.522, O09.523, O09.529, O09.611, O09.612, O09.613, O09.619, O09.621, O09.622, O09.623, O09.629, O09.70, O09.71, O09.72, O09.73, O09.811, O09.812, O09.813, O09.819, O09.821, O09.822, O09.823, O09.829, O09.891, O09.892, O09.893, O09.899, O09.90, O09.91, O09.92, O09.93, O09.A0, O09.A1, O09.A2, O09.A3, O10.011, O10.012, O10.013, O10.019, O10.111, O10.112, O10.113, O10.119, O10.211, O10.212, O10.213, O10.219, O10.311, O10.312, O10.313, O10.319, O10.411, O10.412, O10.413, O10.419, O10.911, O10.912, O10.913, O10.919, O11.1, O11.2, O11.3, O11.9, O12.00, O12.01, O12.02, O12.03, O12.10, O12.11, O12.12, O12.13, O12.20, O12.21, O12.22, O12.23, O13.1, O13.2, O13.3, O13.9, O14.00, O14.02, O14.03, O14.10, O14.12, O14.13, O14.20, O14.22, O14.23, O14.90, O14.92, O14.93, O15.00, O15.02, O15.03, O16.1, O16.2, O16.3, O16.9, O20.0, O20.8, O20.9, O21.0, O21.1, O21.2, O21.8, O21.9, O22.00, O22.01, O22.02, O22.03, O22.10, O22.11, O22.12, O22.13, O22.20, O22.21, O22.22, O22.23, O22.30, O22.31, O22.32, O22.33, O22.40, O22.41, O22.42, O22.43, O22.50, O22.51, O22.52, O22.53, O22.8X1, O22.8X2, O22.8X3, O22.8X9, O22.90, O22.91, O22.92, O22.93, O23.00, O23.01, O23.02, O23.03, O23.10, O23.11, O23.12, O23.13, O23.20, O23.21, O23.22, O23.23, O23.30, O23.31, O23.32, O23.33, O23.40, O23.41, O23.42, O23.43, O23.511, O23.512, O23.513, O23.519, O23.521, O23.522, O23.523, O23.529, O23.591, O23.592, O23.593, O23.599, O23.90, O23.91, O23.92, O23.93, O24.011, O24.012, O24.013, O24.019, O24.111, O24.112, O24.113, O24.119, O24.311, O24.312, O24.313, O24.319, O24.410, O24.414, O24.415, O24.419, O24.811, O24.812, O24.813, O24.819, O24.911, O24.912, O24.913, O24.919, O25.10, O25.11, O25.12, O25.13, O26.00, O26.01, O26.02, O26.03, O26.10, O26.11, O26.12, O26.13, O26.20, O26.21, O26.22, O26.23, O26.30, O26.31, O26.32, O26.33, O26.40, O26.41, O26.42, O26.43, O26.50, O26.51, O26.52, O26.53, O26.611, O26.612, O26.613, O26.619, O26.711, O26.712, O26.713, O26.719, O26.811, O26.812, O26.813, O26.819, O26.821, O26.822, O26.823, O26.829, O26.831, O26.832, O26.833, O26.839, O26.841, O26.842, O26.843, O26.849, O26.851, O26.852, O26.853, O26.859, O26.86, O26.872, O26.873, O26.879, O26.891, O26.892, O26.893, O26.899, O26.90, O26.91, O26.92, O26.93, O28.0, O28.1, O28.2, O28.3, O28.4, O28.5, O28.8, O28.9, O29.011, O29.012, O29.013, O29.019, O29.021, O29.022, O29.023, O29.029, O29.091, O29.092, O29.093, O29.099, O29.111, O29.112, O29.113, O29.119, O29.121, O29.122, O29.123, O29.129, O29.191, O29.192, O29.193, O29.199, O29.211, O29.212, O29.213, O29.219, O29.291, O29.292, O29.293, O29.299, O29.3X1, O29.3X2, O29.3X3, O29.3X9, O29.40, O29.41, O29.42, O29.43, O29.5X1, O29.5X2, O29.5X3, O29.5X9, O29.60, O29.61, O29.62, O29.63, O29.8X1, O29.8X2, O29.8X3, O29.8X9, O29.90, O29.91, O29.92, O29.93, O30.001, O30.002, O30.003, O30.009, O30.011, O30.012, O30.013, O30.019, O30.021, O30.022, O30.023, O30.029, O30.031, O30.032, O30.033, O30.039, O30.041, O30.042, O30.043, O30.049, O30.091, O30.092, O30.093, O30.099, O30.101, O30.102, O30.103, O30.109, O30.111, O30.112, O30.113, O30.119, O30.121, O30.122, O30.123, O30.129, O30.191, O30.192, O30.193, O30.199, O30.201, O30.202, O30.203, O30.209, O30.211, O30.212, O30.213, O30.219, O30.221, O30.222, O30.223, O30.229, O30.291, O30.292, O30.293, O30.299, O30.801, O30.802, O30.803, O30.809, O30.811, O30.812, O30.813, O30.819, O30.821, O30.822, O30.823, O30.829, O30.891, O30.892, O30.893, O30.899, O30.90, O30.91, O30.92, O30.93, O31.00X0, O31.00X1, O31.00X2, O31.00X3, O31.00X4, O31.00X5, O31.00X9, O31.01X0, O31.01X1, O31.01X2, O31.01X3, O31.01X4, O31.01X5, O31.01X9, O31.02X0, O31.02X1, O31.02X2, O31.02X3, O31.02X4, O31.02X5, O31.02X9, O31.03X0, O31.03X1, O31.03X2, O31.03X3, O31.03X4, O31.03X5, O31.03X9, O31.10X0, O31.10X1, O31.10X2, O31.10X3, O31.10X4, O31.10X5, O31.10X9, O31.11X0, O31.11X1, O31.11X2, O31.11X3, O31.11X4, O31.11X5, O31.11X9, O31.12X0, O31.12X1, O31.12X2, O31.12X3, O31.12X4, O31.12X5, O31.12X9, O31.13X0, O31.13X1, O31.13X2, O31.13X3, O31.13X4, O31.13X5, O31.13X9, O31.20X0, O31.20X1, O31.20X2, O31.20X3, O31.20X4, O31.20X5, O31.20X9, O31.21X0, O31.21X1, O31.21X2, O31.21X3, O31.21X4, O31.21X5, O31.21X9, O31.22X0, O31.22X1, O31.22X2, O31.22X3, O31.22X4, O31.22X5, O31.22X9, O31.23X0, O31.23X1, O31.23X2, O31.23X3, O31.23X4, O31.23X5, O31.23X9, O31.30X0, O31.30X1, O31.30X2, O31.30X3, O31.30X4, O31.30X5, O31.30X9, O31.31X0, O31.31X1, O31.31X2, O31.31X3, O31.31X4, O31.31X5, O31.31X9, O31.32X0, O31.32X1, O31.32X2, O31.32X3, O31.32X4, O31.32X5, O31.32X9, O31.33X0, 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O98.713, O98.719, O98.811, O98.812, O98.813, O98.819, O98.911, O98.912, O98.913, O98.919, O99.011, O99.012, O99.013, O99.019, O99.111, O99.112, O99.113, O99.119, O99.210, O99.211, O99.212, O99.213, O99.280, O99.281, O99.282, O99.283, O99.310, O99.311, O99.312, O99.313, O99.320, O99.321, O99.322, O99.323, O99.330, O99.331, O99.332, O99.333, O99.340, O99.341, O99.342, O99.343, O99.350, O99.351, O99.352, O99.353, O99.411, O99.412, O99.413, O99.419, O99.511, O99.512, O99.513, O99.519, O99.611, O99.612, O99.613, O99.619, O99.711, O99.712, O99.713, O99.719, O99.810, O99.820, O99.830, O99.840, O99.841, O99.842, O99.843, O99.89, O9A.111, O9A.112, O9A.113, O9A.119, O9A.211, O9A.212, O9A.213, O9A.219, O9A.311, O9A.312, O9A.313, O9A.319, O9A.411, O9A.412, O9A.413, O9A.419, O9A.511, O9A.512, O9A.513, O9A.519, Z33.1, Z33.3, Z34.00, Z34.01, Z34.02, Z34.03, Z34.80, Z34.81, Z34.82, Z34.83, Z34.90, Z34.91, Z34.92, Z34.93, Z36
Diagnosis: Pregnancy: SNOMED	102872000, 102873005, 102875003, 14418008, 169560008, 169561007, 169562000, 169563005, 169564004, 169565003, 169566002, 169567006, 169568001, 199715003, 237233002, 237238006, 237239003, 237240001, 237241002, 237242009, 237244005, 248985009, 281307002, 314204000, 41587001, 45307008, 47200007, 57630001, 58532003, 59466002, 65727000, 72892002, 77386006, 83074005, 9279009
Diagnosis: Renal Failure Due to ACE Inhibitor: SNOMED	236429004, 422593004
Exceptions: Reason Codes
Communication: From Patient to Provider: Patient reason for ACE inhibitor or ARB decline: SNOMED	134397009, 401084003
Medication, Order not done: Medical Reason: SNOMED	Absent response to treatment (266721009) Adverse reaction caused by drug (62014003) Complication of medical care (35688006) Contraindicated (410536001) Drug allergy (416098002) Drug interaction (79899007) Drug intolerance (59037007) Drug resistance (31438003) Drug therapy discontinued (274512008) Drug treatment not indicated (183966005) Failure in dosage (216952002) Late effect of medical and surgical care complication (269191009) Medical contraindication (397745006) Not indicated (410534003) Procedure contraindicated (183932001) Procedure discontinued (416406003) Procedure not indicated (428119001) Treatment changed (445528004) Treatment modification (371133007) Treatment not indicated (183964008) Treatment not tolerated (407563006)
Medication, Order not done: Patient Reason: SNOMED	Did not attend (281399006) Dissatisfied with doctor (185481008) Drug declined by patient (182895007) Drug declined by patient – cannot pay script (182902003) Drug declined by patient – patient beliefs (182900006) Drug declined by patient – side effects (182897004) Drugs not taken/completed (266710000) Family illness (266966009) Financial circumstances change (160934006) Financial problem (160932005) Further opinion sought (310343007) Income insufficient to buy necessities (423656007) Income sufficient to buy only necessities (424739004) Medication refused (406149000) Patient defaulted from follow-up (275694009) Patient dissatisfied with result (185479006) Patient forgets to take medication (408367005) Patient has moved away (184081006) Patient noncompliance – general (275936005) Patient non-compliant – refused access to services (413310006) Patient non-compliant – refused intervention / support (413311005) Patient non-compliant – refused service (413312003) Patient requests alternative treatment (182890002) Patient self-discharge against medical advice (225928004) Procedure discontinued by patient (713247000) Procedure not wanted (416432009) Procedure refused (183944003) Procedure refused for religious reason (183945002) Refusal of treatment by patient (105480006) Refused (443390004) Rejected by recipient (385648002) Treatment delay – patient choice (373787003) Variable income (224187001)
Medication, Order not done: System Reason: SNOMED	Appointment canceled by hospital (185335007) Delay in receiving benefits (224198000) Drug not available – out of stock (182856006) Drug not available for administration (242990004) Drug not available-off market (182857002) Finding related to health insurance issues (419808006) Loss of benefits (224199008) Medical care unavailable (266756008) Not entitled to benefits (224194003) Patient on waiting list (270459005) Patient transfer (107724000) Referred to doctor (309017000) Treatment not available (309846006) Uninsured medical expenses (424553001)

Last updated: May 16, 2018 at 2:42 pm

CMS135v6 Code List

Code List: CMS135v6, Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)