CMS 75v8: Children Who Have Dental Decay or Cavities
| Measure: Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period | ||
| Measure Type | High Priority Measure | Scoring |
| Outcome | Yes | A lower percentage indicates better quality |
| Denominator | Children, age 0-20 years, with a visit during the measurement period |
| Numerator | Children who had a diagnosis of cavities or decayed teeth overlapping the measurement period |
| Denominator Exceptions | None |
| Denominator Exclusions | Exclude patients whose hospice care overlaps the measurement period |
DenominatorPatients who meet the following criteria will be included in the denominator:
Age is ≥ 0 years and < 20 years at the beginning of the Measurement Period
AND
- Have at least one eligible encounter during the Measurement Period finalized by the EC/EP
Encounter Codes Eligible for DenominatorCPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99381, 99382, 99383, 99384, 99385, 99386, 99387
Denominator ExclusionsPatients who were in hospice care during the Measurement Period will be excluded from the measure.
To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
SNOMED CT: 385763009, 385765002
Order Status must be marked as Pending or Complete.
NoteSNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
NumeratorA patient will be counted in the numerator if they have an active diagnosis of dental caries during the Measurement Period. Diagnoses are documented in the Assessment tab of an encounter.
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