Ischaemic Heart Disease G006
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25
Factors in CCPS as at 27 April 2010 (G006)
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/h-l/ischaemic-heart-disease-g006/factors-ccps-27-april-2010-g006
A category 1A stressor
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/category-1a-stressor
A category 1B stressor
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/category-1b-stressor
A drug from the specified list
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/drug-specified-list
Acute cholinergic poisoning from exposure to an organophosphorus ester
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/acute-cholinergic-poisoning-exposure-organophosphorus-ester
Chronic renal disease
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/chronic-renal-disease
Cigar smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/cigar-smoking
Cigarette smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/cigarette-smoking
Clinically significant anxiety spectrum disorder
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/clinically-significant-anxiety-spectrum-disorder
Clinically significant depressive disorder
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/clinically-significant-depressive-disorder
Combined oral contraceptive pill
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/combined-oral-contraceptive-pill
Diabetes mellitus
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/diabetes-mellitus
Dyslipidaemia
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/dyslipidaemia
Exposure to phenoxy acid herbicides
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/exposure-phenoxy-acid-herbicides
Exposure to TCDD (Dioxin)
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/exposure-tcdd-dioxin
Haematological disorder associated with a hypercoagulable state
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/haematological-disorder-associated-hypercoagulable-state
Hyperhomocysteinaemia
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/hyperhomocysteinaemia
Hypertension
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/hypertension
Hypothyroidism
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/hypothyroidism
Immersion in an atmosphere with a visible tobacco smoke haze
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/immersion-atmosphere-visible-tobacco-smoke-haze
Inability to obtain appropriate clinical management for ischaemic heart disease
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/inability-obtain-appropriate-clinical-management-ischaemic-heart-disease
Inability to undertake any physical activity greater than 3 METs
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/inability-undertake-any-physical-activity-greater-3-mets
Inhaling or having cutaneous contact with nitroglycerine and nitroglycol
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/inhaling-or-having-cutaneous-contact-nitroglycerine-and-nitroglycol
Morbid obesity
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/morbid-obesity
Obesity or increased waist to hip ratio
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/obesity-or-increased-waist-hip-ratio
Pipe smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/pipe-smoking
Smoking tobacco products - material contribution
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/smoking-tobacco-products-material-contribution
The death of a significant other
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/death-significant-other
Therapeutic radiation to the mediastinum or the chest wall overlying the heart
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/therapeutic-radiation-mediastinum-or-chest-wall-overlying-heart
Using amphetamines
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/using-amphetamines
Using nonsteroidal anti-inflammatory drugs
Current RMA Instruments
| Reasonable Hypothesis SOP | 1 of 2016 as amended |
| Balance of Probabilities SOP | 2 of 2016 as amended |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 410,411,412,413,414.0,414.10,414.8,414.9,414.11,414.19,429.2,429.79
- ICD-10-AM Code: In the range I20 to I25
Brief description
This is a condition in which a lack of blood flow to heart muscle, due to narrowing, blockage, spasm or dissection in the coronary arteries, causes impairment of cardiac function. This can present in a range of ways, commonly as angina, or as a myocardial infarct or sudden cardiac death. Impaired cardiac function can also be detected on investigation. Coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability, is not covered by the SOP.
Confirming the diagnosis
Diagnosis requires evidence of impaired blood flow in the coronary ateries, and evidence of either clinical consequences or impairment of heart muscle function from that lack of blood flow.
The relevant medical specialist is a cardiologist.
Additional diagnoses covered by SOP
- Acute coronary syndrome
- Angina
- Myocardial infarction
- Myocardial ischaemia
- Ischaemia due to coronary artery dissection
Conditions not covered by SOP
- Coronary atherosclerosis, coronary atheroma, or “coronary artery disease” not resulting in a cardiac disability. e.g. coronary atherosclerosis found on investigation but no evidence of angina or other ischaemia. This should be determined No Incapacity Found (NIF).
- Coronary ischaemia not due to coronary atherosclerosis, thrombosis, vasospasm or dissection of the coronary arteries, e.g. due to anaemia or cardiomyopathy - code to the underlying condition.
Clinical onset
Clinical onset of IHD will be either the first occurrence of symptoms that are subsequently confirmed to be due to IHD, or the first detection of a cardiac disability due to IHD on investigation. A finding of asymptomatic coronary atherosclerosis (e.g. on CT scan or angiography) does not denote a clinical onset of IHD.
Clinical worsening
Clinical worsening could take a number of forms, such as the new development of unstable angina, or the occurence of an infarct. The course of IHD can be affected by treatment, so inability to obtain appropriate treatment could result in a permanent worsening of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/ischaemic-heart-disease-g006-i20-i25/rulebase-ischaemic-heart-disease/using-nonsteroidal-anti-inflammatory-drugs