89 Heart Disease/Cardiovascular

The patient has 1 and either 2 or 3:

1. CHF with NYHA class IV symptoms and both:
   1. Significant symptoms at rest
   2. Inability to carry out even minimal physical activity without dyspnea or angina
2. Patient is optimally treated with diuretics and vasodilators including ACEI
3. The patient has angina pectoris at rest, resistant to medical therapy, and is either not a candidate for/or has declined invasive procedures.

Supporting documentation:

• EF < 20%
• Treatment resistant dysrhythmias
• Cardiac-related syncope
• Stroke related to cardiac embolism
• History of CPR
• Concomitant HIV