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 |
Denominator
Patients 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 Denominator
CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99381, 99382, 99383, 99384, 99385, 99386, 99387
Denominator Exclusions
Patients 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.
Note
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
Numerator
A 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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