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Patient not eligible due to active diagnosis of hypertension

HCPCS code

Name of the Procedure:

Hypertension Screening and Eligibility Assessment
(Medical Terms: Hypertension Diagnosis, Patient Eligibility Check)

Summary

This procedure involves the evaluation of a patient's eligibility for specific treatments or medical processes based on the presence of hypertension (high blood pressure). A diagnosis of active hypertension could make a patient ineligible for certain treatments due to the associated health risks.

Purpose

The main purpose of this procedure is to ensure patient safety by identifying active hypertension. The goal is to assess whether a patient can safely undergo further medical treatments or procedures without additional risk.

Indications

  • Consistently high blood pressure readings.
  • Diagnosis of hypertension from previous medical history.
  • Symptoms such as headaches, dizziness, or chest pain.

Preparation

  • Patients may need to provide a detailed medical history focusing on blood pressure readings.
  • Avoid caffeine and certain medications for a few hours prior to the assessment.
  • Rest peacefully for at least 5 minutes before the blood pressure measurement.

Procedure Description

  1. The patient is seated comfortably with their back supported and feet flat on the floor.
  2. A blood pressure cuff is placed on the upper arm.
  3. The cuff is inflated and then deflated while measuring systolic and diastolic blood pressure.
  4. Multiple readings may be taken to ensure accuracy.
  5. Results are compared against standard blood pressure thresholds to determine hypertension status.

Tools and Equipment:

  • Blood pressure monitor (sphygmomanometer or automated blood pressure machine)

Duration

The procedure typically takes about 10-15 minutes.

Setting

This assessment can be performed in various healthcare settings including a doctor's office, outpatient clinic, or hospital.

Personnel

The procedure is usually conducted by:

  • Registered Nurses or Nurse Practitioners
  • Primary Care Physicians
  • Medical Assistants

Risks and Complications

The risks associated with this procedure are minimal and rare but may include:

  • Temporary discomfort from the blood pressure cuff.
  • Slight bruising on the arm.

Benefits

  • Early detection of hypertension, preventing complications like heart disease or stroke.
  • Clear guidance on whether a patient is eligible for further treatments based on their blood pressure status.

Recovery

Typically, there is no recovery period needed for this procedure. Patients may resume normal activities immediately.

Alternatives

Alternatives to this assessment include:

  • 24-hour ambulatory blood pressure monitoring for more detailed blood pressure trends.
  • Home blood pressure monitoring to track readings over a longer period.

Pros of Alternatives:

  • More comprehensive data over time.
  • Greater convenience for patients who prefer at-home monitoring.

Cons of Alternatives:

  • Increased cost and effort.
  • Possible need for multiple visits or follow-up.

Patient Experience

During the procedure, patients may feel a tightening sensation from the blood pressure cuff, which is usually brief and tolerable. After the procedure, there should be no significant discomfort or adverse effects. Pain management or specific comfort measures are generally not required.

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