Unique Opioid

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • amanda enerson
    • memorial hermann health system
    • Hide
      Thank you for your question regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. The measure logic specifies that the opioids must be distinct, which means that they must have different RXNorm codes. Based on the information provided in your example, this patient would be in the denominator and not in the numerator because there is only one RXNORM code and therefore only one distinct opioid at discharge.
      Show
      Thank you for your question regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. The measure logic specifies that the opioids must be distinct, which means that they must have different RXNorm codes. Based on the information provided in your example, this patient would be in the denominator and not in the numerator because there is only one RXNORM code and therefore only one distinct opioid at discharge.
    • CMS0506v7
    • Need to see if we are counting patients in the correct population

      Hello,

      we have a patient that pulled into the numerator who had the same RX Norm code twice.  The medication was ordered by a PA and then the next day by an MD.  The prescribing instructions were different, but the same medication with the same RXNorm code was ordered.  Based on the logic below, should this patient be in the numerator or denominator?  Can an opioid medication with the same RX norm code used twice (prescribed twice) count for the numerator?  What defines "prescribed two or more opioids" in the numerator?

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          image-2025-08-07-09-36-40-081.png
          23 kB

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            amanda enerson
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