This is a curated list of comprehensive codes identifying targeted non-IV administered opioid medications. Recommendations specify how Electronic Health Record (EHR) medication records for a targeted cohort can be searched to identify all filled prescriptions.
1. All non-IV fills of:
- Codeine
- Fentanyl
- Hydrocodone
- Hydromorphone
- Morphine
- Oxycodone
- Tramadol
2. All non-IV, pill/tablet pills of:
- Methadone
3. All transdermal or buccal fills of:
- Buprenorphine
Additional parameters applied to characterize opioid use:
- Number supplied
- Days supplied
- a/b x conversion factor = milligrams morphine equivalent daily dose (MEDD)
- mg MEDD at enrollment
- mg MEDD monthly during enrollment and at study completion
- Total mg MEDD supplied in year before enrollment
Long-Term Opioid Use is defined as prescription of an opioid medication over a 90-day period, with a maximum allowable gap of up to 30 days between fills.
Reference
Edelman EJ, Gordon K, Becker WC, Goulet JL, Skanderson M, Gaither JR, et al. Receipt of opioid analgesics by HIV-infected and uninfected patients. J Gen Intern Med. 2013;28(1):82-90.
