I think you are asking when would the tachycardia not be considered integral? That would depend upon the underlying condition or cause of the tachycardia. But I would suggest looking at the patient encounter and evaluating what assessments/treatments were applied to treat the tachycardia. Was the care provided different or above the norm related to the tachycardia. i would suggest you capture related specificity of the tachycardia as appropriate- supraventricular, ventricular and paroxsymal.
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