2021 ECPR51: Discharge Prescription of Naloxone after Opioid Poisoning or Overdose 

Measure Description

Percentage of Opioid Poisoning or Overdose Patients Presenting to An Acute Care Facility Who Were Prescribed Naloxone at Discharge


  • Any patient evaluated by the Eligible Professional (E/M Codes 99217, 99234-99236, 99238-99239, 99281-99285, 99291-99292) PLUS
  • Diagnosis of opioid poisoning from heroin, methadone, morphine, opium, codeine, hydrocodone, or another opioid substance
    • ICD-10: T40.0X1A, T40.0X1D, T40.0X1S, T40.0X2A, T40.0X2D, T40.0X2S, T40.0X3A, T40.0X3D, T40.0X3S, T40.0X4A, T40.0X4D, T40.0X4S, T40.1X1A, T40.1X1D, T40.1X1S, T40.1X2A, T40.1X2D, T40.1X2S, T40.1X3A, T40.1X3D, T40.1X3S, T40.1X4A, T40.1X4D, T40.1X4S, T40.2X1A, T40.2X1D, T40.2X1S, T40.2X2A, T40.2X2D, T40.2X2S, T40.2X3A, T40.2X3D, T40.2X3S, T40.2X4A, T40.2X4D, T40.2X4S, T40.3X1A, T40.3X1D, T40.3X1S, T40.3X2A, T40.3X2D, T40.3X2S, T40.3X3A, T40.3X3D, T40.3X3S, T40.3X4A, T40.3X4D, T40.3X4S, T40.411A, T40.411D, T40.411S, T40.412A, T40.412D, T40.412S, T40.413A, T40.413D, T40.413S, T40.414A, T40.414D, T40.414S, T40.421A, T40.421D, T40.421S, T40.422A, T40.422D, T40.422S, T40.423A, T40.423D, T40.423S, T40.424A, T40.424D, T40.424S, T40.491A, T40.491D, T40.491S, T40.492A, T40.492D, T40.492S, T40.493A, T40.493D, T40.493S, T40.494A, T40.494D, T40.494S, T40.601A, T40.601D, T40.601S, T40.602A, T40.602D, T40.602S, T40.603A, T40.603D, T40.603S, T40.604A, T40.604D, T40.604S, T40.691A, T40.691D, T40.691S, T40.692A, T40.692D, T40.692S, T40.693A, T40.693D, T40.693S, T40.694A, T40.694D, T40.694S
  • Transferred, eloped or AMA patients are excluded (V0700)


Patients Who Were Prescribed Naloxone AND Educated About Utilization at Discharge

  • Performance Met (VE269): Naloxone was prescribed at discharge AND patient was educated about use
  • Medical Performance Exclusion (Denominator Exception) (VE270): Naloxone was not prescribed at discharge due to medical reasons such as allergy
  • Performance Not Met (VE271): Naloxone medication was not prescribed at discharge OR patient was not educated about use

Numerator Exclusions


NQF ID Number


NQS Domain

Effective Clinical Care

High Priority Measure


Includes Telehealth?


Inverse Measure


Proportional Measure


Continuous Variable Measure


Ratio Measure


Number of performance rates to be calculated and submitted


Risk-Adjusted Status?


Meaningful Measure

Prevention and Treatment of Opioid and Substance Use Disorders

Measure Type


Care Settings

Multiple Care Settings