Ubrelvy
Example Question Scenarios
Summary: This logic verifies the medication prescribed is Ubrelvy, the patient is 18 years or older with an active migraine diagnosis, and the prescription is for preventive treatment
Parameters:
- Searches for the appropriate RxNorm code(s).
- Searches for the following ICD-10 diagnosis code(s): G43.0*, G43.1*, G43.7*, G43.8*, G43.9*, G43.E* (wildcard pattern)
- Searches for the following SNOMED code(s): 37796009, 56097005, 4473006
- Uses the following unit of measurement: a
- Confirms value is greater than or equal to: 18
- References direction for use instructions for migraine medications.
ICD-10
G43.0* (4 codes)
Code | Description |
|---|---|
G43.001 | Migraine without aura, not intractable, with status migrainosus |
G43.009 | Migraine without aura, not intractable, without status migrainosus |
G43.011 | Migraine without aura, intractable, with status migrainosus |
G43.019 | Migraine without aura, intractable, without status migrainosus |
G43.1* (4 codes)
Code | Description |
|---|---|
G43.101 | Migraine with aura, not intractable, with status migrainosus |
G43.109 | Migraine with aura, not intractable, without status migrainosus |
G43.111 | Migraine with aura, intractable, with status migrainosus |
G43.119 | Migraine with aura, intractable, without status migrainosus |
G43.7* (4 codes)
Code | Description |
|---|---|
G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
G43.8* (8 codes)
Code | Description |
|---|---|
G43.801 | Other migraine, not intractable, with status migrainosus |
G43.809 | Other migraine, not intractable, without status migrainosus |
G43.811 | Other migraine, intractable, with status migrainosus |
G43.819 | Other migraine, intractable, without status migrainosus |
G43.821 | Menstrual migraine, not intractable, with status migrainosus |
G43.829 | Menstrual migraine, not intractable, without status migrainosus |
G43.831 | Menstrual migraine, intractable, with status migrainosus |
G43.839 | Menstrual migraine, intractable, without status migrainosus |
G43.9* (4 codes)
Code | Description |
|---|---|
G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
G43.911 | Migraine, unspecified, intractable, with status migrainosus |
G43.919 | Migraine, unspecified, intractable, without status migrainosus |
G43.E* (4 codes)
Code | Description |
|---|---|
G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
SNOMED CT
Code | Description |
|---|---|
37796009 | Migraine (disorder) |
56097005 | Migraine without aura (disorder) |
4473006 | Migraine with aura (disorder) |
Summary: This logic checks for a history of intolerance or inadequate response to two different triptan medications. It looks for either active allergies to two distinct triptans or a record of two different triptans having been stopped.
Parameters:
- Searches for the appropriate RxNorm code(s)
- Filters for medications with the following status: Stopped, Completed
Summary: This logic checks for contraindications to triptan medications including active allergy to any triptan, diagnoses of ischemic heart disease, history of heart attack or stroke, TIA, hemiplegic migraine, peripheral vascular disease, or ischemic bowel disease, and active MAOI use.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Searches for the following ICD-10 diagnosis code(s): I21*, I25*, I20.0, I20.1, I20.81, I63*, G45*, G43.4*, I73*, K55.0* (wildcard pattern)
- Filters for medications with the following status: active
ICD-10
I21* (13 codes)
Code | Description |
|---|---|
I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site |
I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
I21.9 | Acute myocardial infarction, unspecified |
I21.A1 | Myocardial infarction type 2 |
I21.A9 | Other myocardial infarction type |
I21.B | Myocardial infarction with coronary microvascular dysfunction |
I25* (56 codes)
Code | Description |
|---|---|
I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris |
I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm |
I25.112 | Atherosclerotic heart disease of native coronary artery with refractory angina pectoris |
I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris |
I25.119 | Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris |
I25.2 | Old myocardial infarction |
I25.3 | Aneurysm of heart |
I25.41 | Coronary artery aneurysm |
I25.42 | Coronary artery dissection |
I25.5 | Ischemic cardiomyopathy |
I25.6 | Silent myocardial ischemia |
I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris |
I25.701 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm |
I25.702 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris |
I25.708 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris |
I25.709 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris |
I25.710 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris |
I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.712 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris |
I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris |
I25.719 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris |
I25.720 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris |
I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.722 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris |
I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris |
I25.729 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris |
I25.730 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris |
I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.732 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris |
I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris |
I25.739 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris |
I25.750 | Atherosclerosis of native coronary artery of transplanted heart with unstable angina |
I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm |
I25.752 | Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris |
I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris |
I25.759 | Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris |
I25.760 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina |
I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm |
I25.762 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris |
I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris |
I25.769 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris |
I25.790 | Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris |
I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.792 | Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris |
I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris |
I25.799 | Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris |
I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris |
I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris |
I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris |
I25.82 | Chronic total occlusion of coronary artery |
I25.83 | Coronary atherosclerosis due to lipid rich plaque |
I25.84 | Coronary atherosclerosis due to calcified coronary lesion |
I25.85 | Chronic coronary microvascular dysfunction |
I25.89 | Other forms of chronic ischemic heart disease |
I25.9 | Chronic ischemic heart disease, unspecified |
I63* (91 codes)
Code | Description |
|---|---|
I63.00 | Cerebral infarction due to thrombosis of unspecified precerebral artery |
I63.011 | Cerebral infarction due to thrombosis of right vertebral artery |
I63.012 | Cerebral infarction due to thrombosis of left vertebral artery |
I63.013 | Cerebral infarction due to thrombosis of bilateral vertebral arteries |
I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
I63.02 | Cerebral infarction due to thrombosis of basilar artery |
I63.031 | Cerebral infarction due to thrombosis of right carotid artery |
I63.032 | Cerebral infarction due to thrombosis of left carotid artery |
I63.033 | Cerebral infarction due to thrombosis of bilateral carotid arteries |
I63.039 | Cerebral infarction due to thrombosis of unspecified carotid artery |
I63.09 | Cerebral infarction due to thrombosis of other precerebral artery |
I63.10 | Cerebral infarction due to embolism of unspecified precerebral artery |
I63.111 | Cerebral infarction due to embolism of right vertebral artery |
I63.112 | Cerebral infarction due to embolism of left vertebral artery |
I63.113 | Cerebral infarction due to embolism of bilateral vertebral arteries |
I63.119 | Cerebral infarction due to embolism of unspecified vertebral artery |
I63.12 | Cerebral infarction due to embolism of basilar artery |
I63.131 | Cerebral infarction due to embolism of right carotid artery |
I63.132 | Cerebral infarction due to embolism of left carotid artery |
I63.133 | Cerebral infarction due to embolism of bilateral carotid arteries |
I63.139 | Cerebral infarction due to embolism of unspecified carotid artery |
I63.19 | Cerebral infarction due to embolism of other precerebral artery |
I63.20 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries |
I63.211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery |
I63.212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery |
I63.213 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries |
I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery |
I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery |
I63.231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries |
I63.232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries |
I63.233 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries |
I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery |
I63.29 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries |
I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
I63.313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
I63.319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery |
I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
I63.323 | Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries |
I63.329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery |
I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
I63.333 | Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries |
I63.339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery |
I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery |
I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery |
I63.343 | Cerebral infarction due to thrombosis of bilateral cerebellar arteries |
I63.349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery |
I63.39 | Cerebral infarction due to thrombosis of other cerebral artery |
I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
I63.411 | Cerebral infarction due to embolism of right middle cerebral artery |
I63.412 | Cerebral infarction due to embolism of left middle cerebral artery |
I63.413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
I63.419 | Cerebral infarction due to embolism of unspecified middle cerebral artery |
I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery |
I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery |
I63.423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
I63.429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery |
I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery |
I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery |
I63.433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
I63.439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery |
I63.441 | Cerebral infarction due to embolism of right cerebellar artery |
I63.442 | Cerebral infarction due to embolism of left cerebellar artery |
I63.443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
I63.449 | Cerebral infarction due to embolism of unspecified cerebellar artery |
I63.49 | Cerebral infarction due to embolism of other cerebral artery |
I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
I63.513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries |
I63.519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery |
I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
I63.523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries |
I63.529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery |
I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery |
I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery |
I63.533 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries |
I63.539 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery |
I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery |
I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery |
I63.543 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries |
I63.549 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery |
I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic |
I63.81 | Other cerebral infarction due to occlusion or stenosis of small artery |
I63.89 | Other cerebral infarction |
I63.9 | Cerebral infarction, unspecified |
G45* (7 codes)
Code | Description |
|---|---|
G45.0 | Vertebro-basilar artery syndrome |
G45.1 | Carotid artery syndrome (hemispheric) |
G45.2 | Multiple and bilateral precerebral artery syndromes |
G45.3 | Amaurosis fugax |
G45.4 | Transient global amnesia |
G45.8 | Other transient cerebral ischemic attacks and related syndromes |
G45.9 | Transient cerebral ischemic attack, unspecified |
G43.4* (4 codes)
Code | Description |
|---|---|
G43.401 | Hemiplegic migraine, not intractable, with status migrainosus |
G43.409 | Hemiplegic migraine, not intractable, without status migrainosus |
G43.411 | Hemiplegic migraine, intractable, with status migrainosus |
G43.419 | Hemiplegic migraine, intractable, without status migrainosus |
I73* (6 codes)
Code | Description |
|---|---|
I73.00 | Raynaud's syndrome without gangrene |
I73.01 | Raynaud's syndrome with gangrene |
I73.1 | Thromboangiitis obliterans [Buerger's disease] |
I73.81 | Erythromelalgia |
I73.89 | Other specified peripheral vascular diseases |
I73.9 | Peripheral vascular disease, unspecified |
K55.0* (18 codes)
Code | Description |
|---|---|
K55.011 | Focal (segmental) acute (reversible) ischemia of small intestine |
K55.012 | Diffuse acute (reversible) ischemia of small intestine |
K55.019 | Acute (reversible) ischemia of small intestine, extent unspecified |
K55.021 | Focal (segmental) acute infarction of small intestine |
K55.022 | Diffuse acute infarction of small intestine |
K55.029 | Acute infarction of small intestine, extent unspecified |
K55.031 | Focal (segmental) acute (reversible) ischemia of large intestine |
K55.032 | Diffuse acute (reversible) ischemia of large intestine |
K55.039 | Acute (reversible) ischemia of large intestine, extent unspecified |
K55.041 | Focal (segmental) acute infarction of large intestine |
K55.042 | Diffuse acute infarction of large intestine |
K55.049 | Acute infarction of large intestine, extent unspecified |
K55.051 | Focal (segmental) acute (reversible) ischemia of intestine, part unspecified |
K55.052 | Diffuse acute (reversible) ischemia of intestine, part unspecified |
K55.059 | Acute (reversible) ischemia of intestine, part and extent unspecified |
K55.061 | Focal (segmental) acute infarction of intestine, part unspecified |
K55.062 | Diffuse acute infarction of intestine, part unspecified |
K55.069 | Acute infarction of intestine, part and extent unspecified |
Summary: This logic checks that the prescribed medication meets quantity limits. The rule is satisfied if the daily usage or prescribed quantity is within specified limits.
Parameters:
- Confirms value is less than or equal to: 0.53334
- Uses the following NCIt (National Cancer Institute Thesaurus) unit code: c48542
- Confirms value is less than or equal to: 16
- Uses the following NCIt (National Cancer Institute Thesaurus) unit code: c48542
- Seaches for the appropriate RxNorm code(s).
Summary: This logic confirms that a prescription for Ubrelvy has been written for a patient 18 years or older who has an active diagnosis of migraine and the medication is for acute treatment.
Answer Choice 1
Parameters:
- Searches for the following ICD-10 diagnosis code(s): G43.0*, G43.1*, G43.7*, G43.8*, G43.9*, G43.E* (wildcard pattern)
- Searches for the following SNOMED code(s): 37796009, 56097005, 4473006
- References direction for use instructions for migraine medications.
ICD-10
G43.0* (4 codes)
Code | Description |
|---|---|
G43.001 | Migraine without aura, not intractable, with status migrainosus |
G43.009 | Migraine without aura, not intractable, without status migrainosus |
G43.011 | Migraine without aura, intractable, with status migrainosus |
G43.019 | Migraine without aura, intractable, without status migrainosus |
G43.1* (4 codes)
Code | Description |
|---|---|
G43.101 | Migraine with aura, not intractable, with status migrainosus |
G43.109 | Migraine with aura, not intractable, without status migrainosus |
G43.111 | Migraine with aura, intractable, with status migrainosus |
G43.119 | Migraine with aura, intractable, without status migrainosus |
G43.7* (4 codes)
Code | Description |
|---|---|
G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
G43.8* (8 codes)
Code | Description |
|---|---|
G43.801 | Other migraine, not intractable, with status migrainosus |
G43.809 | Other migraine, not intractable, without status migrainosus |
G43.811 | Other migraine, intractable, with status migrainosus |
G43.819 | Other migraine, intractable, without status migrainosus |
G43.821 | Menstrual migraine, not intractable, with status migrainosus |
G43.829 | Menstrual migraine, not intractable, without status migrainosus |
G43.831 | Menstrual migraine, intractable, with status migrainosus |
G43.839 | Menstrual migraine, intractable, without status migrainosus |
G43.9* (4 codes)
Code | Description |
|---|---|
G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
G43.911 | Migraine, unspecified, intractable, with status migrainosus |
G43.919 | Migraine, unspecified, intractable, without status migrainosus |
G43.E* (4 codes)
Code | Description |
|---|---|
G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
SNOMED CT
Code | Description |
|---|---|
37796009 | Migraine (disorder) |
56097005 | Migraine without aura (disorder) |
4473006 | Migraine with aura (disorder) |
Answer Choice 2
Parameters:
- Searches for the following ICD-10 diagnosis code(s): G43.0*, G43.1*, G43.7*, G43.8*, G43.9*, G43.E* (wildcard pattern)
- Searches for the following SNOMED code(s): 37796009, 56097005, 4473006
- References direction for use instructions for migraine medications.
ICD-10
G43.0* (4 codes)
Code | Description |
|---|---|
G43.001 | Migraine without aura, not intractable, with status migrainosus |
G43.009 | Migraine without aura, not intractable, without status migrainosus |
G43.011 | Migraine without aura, intractable, with status migrainosus |
G43.019 | Migraine without aura, intractable, without status migrainosus |
G43.1* (4 codes)
Code | Description |
|---|---|
G43.101 | Migraine with aura, not intractable, with status migrainosus |
G43.109 | Migraine with aura, not intractable, without status migrainosus |
G43.111 | Migraine with aura, intractable, with status migrainosus |
G43.119 | Migraine with aura, intractable, without status migrainosus |
G43.7* (4 codes)
Code | Description |
|---|---|
G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
G43.8* (8 codes)
Code | Description |
|---|---|
G43.801 | Other migraine, not intractable, with status migrainosus |
G43.809 | Other migraine, not intractable, without status migrainosus |
G43.811 | Other migraine, intractable, with status migrainosus |
G43.819 | Other migraine, intractable, without status migrainosus |
G43.821 | Menstrual migraine, not intractable, with status migrainosus |
G43.829 | Menstrual migraine, not intractable, without status migrainosus |
G43.831 | Menstrual migraine, intractable, with status migrainosus |
G43.839 | Menstrual migraine, intractable, without status migrainosus |
G43.9* (4 codes)
Code | Description |
|---|---|
G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
G43.911 | Migraine, unspecified, intractable, with status migrainosus |
G43.919 | Migraine, unspecified, intractable, without status migrainosus |
G43.E* (4 codes)
Code | Description |
|---|---|
G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
SNOMED CT
Code | Description |
|---|---|
37796009 | Migraine (disorder) |
56097005 | Migraine without aura (disorder) |
4473006 | Migraine with aura (disorder) |
Summary: This logic checks the patient's record for a history of triptan therapy.
Answer Choice 1
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active, stopped, completed
Answer Choice 2
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active, stopped, completed
Please Note: Examples of contraindications to triptans include a history of coronary artery disease; cardiac accessory conduction pathway disorders; history of stroke, transient ischemic attack, or hemiplegic or basilar migraine; peripheral vascular disease; ischemic bowel disease; uncontrolled hypertension; or severe hepatic impairment.
Summary: This logic checks for contraindications to triptan medications including active allergy to any triptan, diagnoses of ischemic heart disease, history of heart attack or stroke, TIA, hemiplegic migraine, peripheral vascular disease, or ischemic bowel disease, and active MAOI use.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Searches for the following ICD-10 diagnosis code(s): I21*, I25*, I20.0, I20.1, I20.81, I63*, G45*, G43.4*, I73*, K55.0* (wildcard pattern)
- Filters for medications with the following status: active
ICD-10
I21* (13 codes)
Code | Description |
|---|---|
I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site |
I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
I21.9 | Acute myocardial infarction, unspecified |
I21.A1 | Myocardial infarction type 2 |
I21.A9 | Other myocardial infarction type |
I21.B | Myocardial infarction with coronary microvascular dysfunction |
I25* (56 codes)
Code | Description |
|---|---|
I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris |
I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm |
I25.112 | Atherosclerotic heart disease of native coronary artery with refractory angina pectoris |
I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris |
I25.119 | Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris |
I25.2 | Old myocardial infarction |
I25.3 | Aneurysm of heart |
I25.41 | Coronary artery aneurysm |
I25.42 | Coronary artery dissection |
I25.5 | Ischemic cardiomyopathy |
I25.6 | Silent myocardial ischemia |
I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris |
I25.701 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm |
I25.702 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris |
I25.708 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris |
I25.709 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris |
I25.710 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris |
I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.712 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris |
I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris |
I25.719 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris |
I25.720 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris |
I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.722 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris |
I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris |
I25.729 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris |
I25.730 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris |
I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.732 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris |
I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris |
I25.739 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris |
I25.750 | Atherosclerosis of native coronary artery of transplanted heart with unstable angina |
I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm |
I25.752 | Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris |
I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris |
I25.759 | Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris |
I25.760 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina |
I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm |
I25.762 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris |
I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris |
I25.769 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris |
I25.790 | Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris |
I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.792 | Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris |
I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris |
I25.799 | Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris |
I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris |
I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris |
I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris |
I25.82 | Chronic total occlusion of coronary artery |
I25.83 | Coronary atherosclerosis due to lipid rich plaque |
I25.84 | Coronary atherosclerosis due to calcified coronary lesion |
I25.85 | Chronic coronary microvascular dysfunction |
I25.89 | Other forms of chronic ischemic heart disease |
I25.9 | Chronic ischemic heart disease, unspecified |
I63* (91 codes)
Code | Description |
|---|---|
I63.00 | Cerebral infarction due to thrombosis of unspecified precerebral artery |
I63.011 | Cerebral infarction due to thrombosis of right vertebral artery |
I63.012 | Cerebral infarction due to thrombosis of left vertebral artery |
I63.013 | Cerebral infarction due to thrombosis of bilateral vertebral arteries |
I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
I63.02 | Cerebral infarction due to thrombosis of basilar artery |
I63.031 | Cerebral infarction due to thrombosis of right carotid artery |
I63.032 | Cerebral infarction due to thrombosis of left carotid artery |
I63.033 | Cerebral infarction due to thrombosis of bilateral carotid arteries |
I63.039 | Cerebral infarction due to thrombosis of unspecified carotid artery |
I63.09 | Cerebral infarction due to thrombosis of other precerebral artery |
I63.10 | Cerebral infarction due to embolism of unspecified precerebral artery |
I63.111 | Cerebral infarction due to embolism of right vertebral artery |
I63.112 | Cerebral infarction due to embolism of left vertebral artery |
I63.113 | Cerebral infarction due to embolism of bilateral vertebral arteries |
I63.119 | Cerebral infarction due to embolism of unspecified vertebral artery |
I63.12 | Cerebral infarction due to embolism of basilar artery |
I63.131 | Cerebral infarction due to embolism of right carotid artery |
I63.132 | Cerebral infarction due to embolism of left carotid artery |
I63.133 | Cerebral infarction due to embolism of bilateral carotid arteries |
I63.139 | Cerebral infarction due to embolism of unspecified carotid artery |
I63.19 | Cerebral infarction due to embolism of other precerebral artery |
I63.20 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries |
I63.211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery |
I63.212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery |
I63.213 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries |
I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery |
I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery |
I63.231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries |
I63.232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries |
I63.233 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries |
I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery |
I63.29 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries |
I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
I63.313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
I63.319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery |
I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
I63.323 | Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries |
I63.329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery |
I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
I63.333 | Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries |
I63.339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery |
I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery |
I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery |
I63.343 | Cerebral infarction due to thrombosis of bilateral cerebellar arteries |
I63.349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery |
I63.39 | Cerebral infarction due to thrombosis of other cerebral artery |
I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
I63.411 | Cerebral infarction due to embolism of right middle cerebral artery |
I63.412 | Cerebral infarction due to embolism of left middle cerebral artery |
I63.413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
I63.419 | Cerebral infarction due to embolism of unspecified middle cerebral artery |
I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery |
I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery |
I63.423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
I63.429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery |
I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery |
I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery |
I63.433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
I63.439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery |
I63.441 | Cerebral infarction due to embolism of right cerebellar artery |
I63.442 | Cerebral infarction due to embolism of left cerebellar artery |
I63.443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
I63.449 | Cerebral infarction due to embolism of unspecified cerebellar artery |
I63.49 | Cerebral infarction due to embolism of other cerebral artery |
I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
I63.513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries |
I63.519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery |
I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
I63.523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries |
I63.529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery |
I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery |
I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery |
I63.533 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries |
I63.539 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery |
I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery |
I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery |
I63.543 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries |
I63.549 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery |
I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic |
I63.81 | Other cerebral infarction due to occlusion or stenosis of small artery |
I63.89 | Other cerebral infarction |
I63.9 | Cerebral infarction, unspecified |
G45* (7 codes)
Code | Description |
|---|---|
G45.0 | Vertebro-basilar artery syndrome |
G45.1 | Carotid artery syndrome (hemispheric) |
G45.2 | Multiple and bilateral precerebral artery syndromes |
G45.3 | Amaurosis fugax |
G45.4 | Transient global amnesia |
G45.8 | Other transient cerebral ischemic attacks and related syndromes |
G45.9 | Transient cerebral ischemic attack, unspecified |
G43.4* (4 codes)
Code | Description |
|---|---|
G43.401 | Hemiplegic migraine, not intractable, with status migrainosus |
G43.409 | Hemiplegic migraine, not intractable, without status migrainosus |
G43.411 | Hemiplegic migraine, intractable, with status migrainosus |
G43.419 | Hemiplegic migraine, intractable, without status migrainosus |
I73* (6 codes)
Code | Description |
|---|---|
I73.00 | Raynaud's syndrome without gangrene |
I73.01 | Raynaud's syndrome with gangrene |
I73.1 | Thromboangiitis obliterans [Buerger's disease] |
I73.81 | Erythromelalgia |
I73.89 | Other specified peripheral vascular diseases |
I73.9 | Peripheral vascular disease, unspecified |
K55.0* (18 codes)
Code | Description |
|---|---|
K55.011 | Focal (segmental) acute (reversible) ischemia of small intestine |
K55.012 | Diffuse acute (reversible) ischemia of small intestine |
K55.019 | Acute (reversible) ischemia of small intestine, extent unspecified |
K55.021 | Focal (segmental) acute infarction of small intestine |
K55.022 | Diffuse acute infarction of small intestine |
K55.029 | Acute infarction of small intestine, extent unspecified |
K55.031 | Focal (segmental) acute (reversible) ischemia of large intestine |
K55.032 | Diffuse acute (reversible) ischemia of large intestine |
K55.039 | Acute (reversible) ischemia of large intestine, extent unspecified |
K55.041 | Focal (segmental) acute infarction of large intestine |
K55.042 | Diffuse acute infarction of large intestine |
K55.049 | Acute infarction of large intestine, extent unspecified |
K55.051 | Focal (segmental) acute (reversible) ischemia of intestine, part unspecified |
K55.052 | Diffuse acute (reversible) ischemia of intestine, part unspecified |
K55.059 | Acute (reversible) ischemia of intestine, part and extent unspecified |
K55.061 | Focal (segmental) acute infarction of intestine, part unspecified |
K55.062 | Diffuse acute infarction of intestine, part unspecified |
K55.069 | Acute infarction of intestine, part and extent unspecified |
Summary: This logic verifies the prescriber is a neurologist.
Parameters:
- Verifies the following prescriber specialty taxonomy code(s) according to the Surescripts Directory or the NPPES data: 2084N0400X
Taxonomy
Code | Description |
|---|---|
2084N0400X | Allopathic & Osteopathic Physicians/Psychiatry and Neurology, Neurology |
Summary: This logic checks for contraindications to triptan medications or verifies the patient has had at least 60 days of coverage for two different triptans.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active
- Searches for the following ICD-10 diagnosis code(s): I21*, I25*, I20.0, I20.1, I20.81, I63*, G45*, G43.4*, I73*, K55.0* (wildcard pattern)
- Evaluates this number of days in the past for active medication validity (written) dates: 730
- Evaluates for this minimum total number of days specified medications (based on RxCUI) are active on the medication list: 60
ICD-10
I21* (13 codes)
Code | Description |
|---|---|
I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site |
I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
I21.9 | Acute myocardial infarction, unspecified |
I21.A1 | Myocardial infarction type 2 |
I21.A9 | Other myocardial infarction type |
I21.B | Myocardial infarction with coronary microvascular dysfunction |
I25* (56 codes)
Code | Description |
|---|---|
I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris |
I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm |
I25.112 | Atherosclerotic heart disease of native coronary artery with refractory angina pectoris |
I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris |
I25.119 | Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris |
I25.2 | Old myocardial infarction |
I25.3 | Aneurysm of heart |
I25.41 | Coronary artery aneurysm |
I25.42 | Coronary artery dissection |
I25.5 | Ischemic cardiomyopathy |
I25.6 | Silent myocardial ischemia |
I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris |
I25.701 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm |
I25.702 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris |
I25.708 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris |
I25.709 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris |
I25.710 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris |
I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.712 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris |
I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris |
I25.719 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris |
I25.720 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris |
I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.722 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris |
I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris |
I25.729 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris |
I25.730 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris |
I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.732 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris |
I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris |
I25.739 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris |
I25.750 | Atherosclerosis of native coronary artery of transplanted heart with unstable angina |
I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm |
I25.752 | Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris |
I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris |
I25.759 | Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris |
I25.760 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina |
I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm |
I25.762 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris |
I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris |
I25.769 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris |
I25.790 | Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris |
I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm |
I25.792 | Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris |
I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris |
I25.799 | Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris |
I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris |
I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris |
I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris |
I25.82 | Chronic total occlusion of coronary artery |
I25.83 | Coronary atherosclerosis due to lipid rich plaque |
I25.84 | Coronary atherosclerosis due to calcified coronary lesion |
I25.85 | Chronic coronary microvascular dysfunction |
I25.89 | Other forms of chronic ischemic heart disease |
I25.9 | Chronic ischemic heart disease, unspecified |
I63* (91 codes)
Code | Description |
|---|---|
I63.00 | Cerebral infarction due to thrombosis of unspecified precerebral artery |
I63.011 | Cerebral infarction due to thrombosis of right vertebral artery |
I63.012 | Cerebral infarction due to thrombosis of left vertebral artery |
I63.013 | Cerebral infarction due to thrombosis of bilateral vertebral arteries |
I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
I63.02 | Cerebral infarction due to thrombosis of basilar artery |
I63.031 | Cerebral infarction due to thrombosis of right carotid artery |
I63.032 | Cerebral infarction due to thrombosis of left carotid artery |
I63.033 | Cerebral infarction due to thrombosis of bilateral carotid arteries |
I63.039 | Cerebral infarction due to thrombosis of unspecified carotid artery |
I63.09 | Cerebral infarction due to thrombosis of other precerebral artery |
I63.10 | Cerebral infarction due to embolism of unspecified precerebral artery |
I63.111 | Cerebral infarction due to embolism of right vertebral artery |
I63.112 | Cerebral infarction due to embolism of left vertebral artery |
I63.113 | Cerebral infarction due to embolism of bilateral vertebral arteries |
I63.119 | Cerebral infarction due to embolism of unspecified vertebral artery |
I63.12 | Cerebral infarction due to embolism of basilar artery |
I63.131 | Cerebral infarction due to embolism of right carotid artery |
I63.132 | Cerebral infarction due to embolism of left carotid artery |
I63.133 | Cerebral infarction due to embolism of bilateral carotid arteries |
I63.139 | Cerebral infarction due to embolism of unspecified carotid artery |
I63.19 | Cerebral infarction due to embolism of other precerebral artery |
I63.20 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries |
I63.211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery |
I63.212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery |
I63.213 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries |
I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery |
I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery |
I63.231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries |
I63.232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries |
I63.233 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries |
I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery |
I63.29 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries |
I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
I63.313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
I63.319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery |
I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
I63.323 | Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries |
I63.329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery |
I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
I63.333 | Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries |
I63.339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery |
I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery |
I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery |
I63.343 | Cerebral infarction due to thrombosis of bilateral cerebellar arteries |
I63.349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery |
I63.39 | Cerebral infarction due to thrombosis of other cerebral artery |
I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
I63.411 | Cerebral infarction due to embolism of right middle cerebral artery |
I63.412 | Cerebral infarction due to embolism of left middle cerebral artery |
I63.413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
I63.419 | Cerebral infarction due to embolism of unspecified middle cerebral artery |
I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery |
I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery |
I63.423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
I63.429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery |
I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery |
I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery |
I63.433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
I63.439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery |
I63.441 | Cerebral infarction due to embolism of right cerebellar artery |
I63.442 | Cerebral infarction due to embolism of left cerebellar artery |
I63.443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
I63.449 | Cerebral infarction due to embolism of unspecified cerebellar artery |
I63.49 | Cerebral infarction due to embolism of other cerebral artery |
I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
I63.513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries |
I63.519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery |
I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
I63.523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries |
I63.529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery |
I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery |
I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery |
I63.533 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries |
I63.539 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery |
I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery |
I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery |
I63.543 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries |
I63.549 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery |
I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic |
I63.81 | Other cerebral infarction due to occlusion or stenosis of small artery |
I63.89 | Other cerebral infarction |
I63.9 | Cerebral infarction, unspecified |
G45* (7 codes)
Code | Description |
|---|---|
G45.0 | Vertebro-basilar artery syndrome |
G45.1 | Carotid artery syndrome (hemispheric) |
G45.2 | Multiple and bilateral precerebral artery syndromes |
G45.3 | Amaurosis fugax |
G45.4 | Transient global amnesia |
G45.8 | Other transient cerebral ischemic attacks and related syndromes |
G45.9 | Transient cerebral ischemic attack, unspecified |
G43.4* (4 codes)
Code | Description |
|---|---|
G43.401 | Hemiplegic migraine, not intractable, with status migrainosus |
G43.409 | Hemiplegic migraine, not intractable, without status migrainosus |
G43.411 | Hemiplegic migraine, intractable, with status migrainosus |
G43.419 | Hemiplegic migraine, intractable, without status migrainosus |
I73* (6 codes)
Code | Description |
|---|---|
I73.00 | Raynaud's syndrome without gangrene |
I73.01 | Raynaud's syndrome with gangrene |
I73.1 | Thromboangiitis obliterans [Buerger's disease] |
I73.81 | Erythromelalgia |
I73.89 | Other specified peripheral vascular diseases |
I73.9 | Peripheral vascular disease, unspecified |
K55.0* (18 codes)
Code | Description |
|---|---|
K55.011 | Focal (segmental) acute (reversible) ischemia of small intestine |
K55.012 | Diffuse acute (reversible) ischemia of small intestine |
K55.019 | Acute (reversible) ischemia of small intestine, extent unspecified |
K55.021 | Focal (segmental) acute infarction of small intestine |
K55.022 | Diffuse acute infarction of small intestine |
K55.029 | Acute infarction of small intestine, extent unspecified |
K55.031 | Focal (segmental) acute (reversible) ischemia of large intestine |
K55.032 | Diffuse acute (reversible) ischemia of large intestine |
K55.039 | Acute (reversible) ischemia of large intestine, extent unspecified |
K55.041 | Focal (segmental) acute infarction of large intestine |
K55.042 | Diffuse acute infarction of large intestine |
K55.049 | Acute infarction of large intestine, extent unspecified |
K55.051 | Focal (segmental) acute (reversible) ischemia of intestine, part unspecified |
K55.052 | Diffuse acute (reversible) ischemia of intestine, part unspecified |
K55.059 | Acute (reversible) ischemia of intestine, part and extent unspecified |
K55.061 | Focal (segmental) acute infarction of intestine, part unspecified |
K55.062 | Diffuse acute infarction of intestine, part unspecified |
K55.069 | Acute infarction of intestine, part and extent unspecified |
Summary: This logic checks the patient's record for active CGRP inhibitors.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active
Summary: This logic checks the patient's record for active CGRP inhibitors.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active
Summary: This logic checks the patient's record for an active diagnosis of migraine.
Parameters:
- Searches for the following ICD-10 diagnosis code(s): G43.0*, G43.1*, G43.7*, G43.8*, G43.9*, G43.E* (wildcard pattern)
- Searches for the following SNOMED code(s): 37796009, 56097005, 4473006
ICD-10
G43.0* (4 codes)
Code | Description |
|---|---|
G43.001 | Migraine without aura, not intractable, with status migrainosus |
G43.009 | Migraine without aura, not intractable, without status migrainosus |
G43.011 | Migraine without aura, intractable, with status migrainosus |
G43.019 | Migraine without aura, intractable, without status migrainosus |
G43.1* (4 codes)
Code | Description |
|---|---|
G43.101 | Migraine with aura, not intractable, with status migrainosus |
G43.109 | Migraine with aura, not intractable, without status migrainosus |
G43.111 | Migraine with aura, intractable, with status migrainosus |
G43.119 | Migraine with aura, intractable, without status migrainosus |
G43.7* (4 codes)
Code | Description |
|---|---|
G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
G43.8* (8 codes)
Code | Description |
|---|---|
G43.801 | Other migraine, not intractable, with status migrainosus |
G43.809 | Other migraine, not intractable, without status migrainosus |
G43.811 | Other migraine, intractable, with status migrainosus |
G43.819 | Other migraine, intractable, without status migrainosus |
G43.821 | Menstrual migraine, not intractable, with status migrainosus |
G43.829 | Menstrual migraine, not intractable, without status migrainosus |
G43.831 | Menstrual migraine, intractable, with status migrainosus |
G43.839 | Menstrual migraine, intractable, without status migrainosus |
G43.9* (4 codes)
Code | Description |
|---|---|
G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
G43.911 | Migraine, unspecified, intractable, with status migrainosus |
G43.919 | Migraine, unspecified, intractable, without status migrainosus |
G43.E* (4 codes)
Code | Description |
|---|---|
G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
SNOMED CT
Code | Description |
|---|---|
37796009 | Migraine (disorder) |
56097005 | Migraine without aura (disorder) |
4473006 | Migraine with aura (disorder) |
Summary: This logic confirms that a prescription for Ubrelvy has been written for a patient 18 years or older who has an active diagnosis of migraine and the medication is for acute treatment.
Parameters:
- Searches for the following SNOMED code(s): 37796009, 471661000124108
- Searches for the following ICD-10 diagnosis code(s): G43.0*, G43.1*, G43.7*, G43.8*, G43.9*, G43.E* (wildcard pattern)
- References direction for use instructions for migraine medications.
ICD-10
G43.0* (4 codes)
Code | Description |
|---|---|
G43.001 | Migraine without aura, not intractable, with status migrainosus |
G43.009 | Migraine without aura, not intractable, without status migrainosus |
G43.011 | Migraine without aura, intractable, with status migrainosus |
G43.019 | Migraine without aura, intractable, without status migrainosus |
G43.1* (4 codes)
Code | Description |
|---|---|
G43.101 | Migraine with aura, not intractable, with status migrainosus |
G43.109 | Migraine with aura, not intractable, without status migrainosus |
G43.111 | Migraine with aura, intractable, with status migrainosus |
G43.119 | Migraine with aura, intractable, without status migrainosus |
G43.7* (4 codes)
Code | Description |
|---|---|
G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
G43.8* (8 codes)
Code | Description |
|---|---|
G43.801 | Other migraine, not intractable, with status migrainosus |
G43.809 | Other migraine, not intractable, without status migrainosus |
G43.811 | Other migraine, intractable, with status migrainosus |
G43.819 | Other migraine, intractable, without status migrainosus |
G43.821 | Menstrual migraine, not intractable, with status migrainosus |
G43.829 | Menstrual migraine, not intractable, without status migrainosus |
G43.831 | Menstrual migraine, intractable, with status migrainosus |
G43.839 | Menstrual migraine, intractable, without status migrainosus |
G43.9* (4 codes)
Code | Description |
|---|---|
G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
G43.911 | Migraine, unspecified, intractable, with status migrainosus |
G43.919 | Migraine, unspecified, intractable, without status migrainosus |
G43.E* (4 codes)
Code | Description |
|---|---|
G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
SNOMED CT
Code | Description |
|---|---|
37796009 | Migraine (disorder) |
471661000124108 | Acute migraine (disorder) |
Summary: This logic checks the patient's record for a history of triptan therapy or an active allergy to triptans.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active, stopped, completed
Summary: This logic checks that the prescribed medication meets quantity limits. The rule is satisfied if the daily usage or prescribed quantity is within specified limits.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Confirms value is less than or equal to: 0.53334
- Uses the following NCIt (National Cancer Institute Thesaurus) unit code: c48542
- Checks if the medication prescribed is for the following RxNorm brand name code: 2268222
- Confirms value is less than or equal to: 16
- Uses the following NCIt (National Cancer Institute Thesaurus) unit code: c48542
Refer to the UBRELVY® Prescribing Information for complete product details, including indications, dosing, contraindications, warnings, and adverse reactions.