Public health agencies should publish machine‑readable, versioned maps of the ICD‑10 code groupings and the exact algorithms they use to attribute overdose deaths to ‘prescription’ versus ‘illicit’ opioid categories, with change logs tied to date‑stamped mortality series. That would make year‑to‑year and jurisdictional comparisons reproducible, prevent headline confusion, and allow independent reanalysis.
— Clear, auditable coding provenance would reduce policy confusion, improve media reporting on overdose trends, and focus interventions on the true drivers (e.g., illicit fentanyl) rather than misleading aggregates.
2026.01.04
100% relevant
The CDC authors explain why they changed methods in 2018 and how synthetic‑opioid (T40.4) coding complicates counting prescription opioid deaths, showing the exact operational need for publicly versioned coding maps.
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