| 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 cavities or decayed teeth |
| Denominator Exceptions | None |
| Denominator Exclusions | Exclude patients who were in hospice care during the measurement year |
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 0 years and < 20 years at the beginning of the Measurement Period
AND
- Must have at least one 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, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99221, 99222, 99223, 99231, 99232, 99233, 99241, 99242, 99243, 99244, 99245, 99281, 99282, 99283, 99284, 99285, 99305, 99306, 99307, 99308, 99309, 99310, 99251, 99252, 99253, 99254, 99255, 99381, 99382, 99383, 99384, 99024, 99391, 99392, 99393, 99394, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
HCPCS: G0402, G0438, G0439
Denominator Exclusions
Patients who were in hospice care during the measurement year 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 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.
eCQI Reference
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