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Line of business: BlueAlliance (Commercial) & BlueAlliance Care+ (Medicaid)
Percentage of members 18 years of age and older who have a new episode of opioid use that puts them at risk for continued opioid use. Two rates are reported:
Opioid Medications | ||
Benzhydrocodone | Buprenorphine (transdermal patch and buccal film) | Butorphanol |
Codeine | Dihydrocodeine | Fentanyl |
Hydrocodone | Hydromorphone | Levorphanol |
Meperidine | Methadone | Morphine |
Opium | Oxycodone | Oxymorphone |
Pentazocine | Tapentadol | Tramadol |
The analysis of any medical coding question related to a measure is dependent on the measure’s technical specifications including the factual situations present related to the member, the practice, the professionals, and the medical services provided.
Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Updated 1/22/2025