Measure: CMS75
Children Who Have Dental Decay or Cavities
Measure Versions
| eMeasure Code |
Measure Year |
Full Version Number |
Title |
| CMS75v12 |
2024 |
12.0.000 |
Children Who Have Dental Decay or Cavities |
| CMS75v11 |
2023 |
11 |
Children Who Have Dental Decay or Cavities |
| CMS75v10 |
2022 |
10.0.000 |
Children Who Have Dental Decay or Cavities |
| CMS75v9 |
2021 |
9.2.000 |
Children Who Have Dental Decay or Cavities |
| CMS75v8 |
2020 |
8.1.000 |
Children Who Have Dental Decay or Cavities |
| CMS75v7 |
2019 |
7.2.000 |
Children Who Have Dental Decay or Cavities |
| CMS75v6 |
2018 |
6.1.000 |
Children Who Have Dental Decay or Cavities |
| CMS75v5 |
2017 |
5.1.000 |
Children Who Have Dental Decay or Cavities |
Description
Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period
Guidance
None
Patient Group Definitions
Details
| Full eMeasure Code |
eMeasure Identifier |
Measure Year |
Version |
NQF # |
GUID |
| CMS75v8 |
75 |
2020 |
8.1.000 |
Not Applicable |
61947125-4376-4a7b-ab7a-ac2be9bd9138 |
| Steward |
Developer |
Endorsed By |
| National Committee for Quality Assurance |
Centers for Medicare & Medicaid Services (CMS) |
|
| Scoring Method |
Measure Type |
Stratification |
Risk Adjustment |
| Proportion |
Outcome |
None |
None |
Rate Aggregation
None
Improvement Notation
A lower score indicates better quality
Rationale
Dental caries is the most chronic disease among youth aged 6-19 years. Data from the National Health and Nutrition Examination Survey from 2015-2016 showed that approximately 45.8% of children and youth aged 2-19 years had total caries (untreated and treated). Prevalence of total dental caries (untreated and treated) in primary or permanent teeth increases with age, going from 21.4%, 50.5%, and 53.8% among ages 2-5, 6-11, and 12-19, respectively. Total dental caries was highest in Hispanic youths aged 2-19 at 57.1% compared to 48.1% for non-Hispanic black, 44.6% for non-Asian, and 40.4% for non-Hispanic white youth Monitoring prevalence of untreated and total caries is vital to preventing and controlling oral disease (Fleming & Afful, 2018).
Clinical Recommendation Statement
Children who have dental decay or cavities are less likely to be in very good or excellent overall health than children without decay or cavities (Edelstein & Chinn, 2009). Children with decay are also more likely to have other oral health problems such as toothaches, broken teeth, and bleeding gums (Child and Adolescent Health Measurement Initiative, 2007).
Definition
None
Transmission Format
TBD
Applicable Value Sets
| Category |
Value Set |
OID |
| Diagnosis |
Dental Caries |
2.16.840.1.113883.3.464.1003.125.12.1004 |
| Encounter, Performed |
Clinical Oral Evaluation |
2.16.840.1.113883.3.464.1003.125.12.1003 |
| Encounter, Performed |
Encounter Inpatient |
2.16.840.1.113883.3.666.5.307 |
| Encounter, Performed |
Office Visit |
2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed |
Preventive Care - Established Office Visit, 0 to 17 |
2.16.840.1.113883.3.464.1003.101.12.1024 |
| Encounter, Performed |
Preventive Care Services - Established Office Visit, 18 and Up |
2.16.840.1.113883.3.464.1003.101.12.1025 |
| Encounter, Performed |
Preventive Care Services-Initial Office Visit, 18 and Up |
2.16.840.1.113883.3.464.1003.101.12.1023 |
| Encounter, Performed |
Preventive Care- Initial Office Visit, 0 to 17 |
2.16.840.1.113883.3.464.1003.101.12.1022 |
| Intervention, Order |
Hospice care ambulatory |
2.16.840.1.113762.1.4.1108.15 |
| Intervention, Performed |
Hospice care ambulatory |
2.16.840.1.113762.1.4.1108.15 |
| Patient Characteristic Ethnicity |
Ethnicity |
2.16.840.1.114222.4.11.837 |
| Patient Characteristic Payer |
Payer |
2.16.840.1.114222.4.11.3591 |
| Patient Characteristic Race |
Race |
2.16.840.1.114222.4.11.836 |
| Patient Characteristic Sex |
ONC Administrative Sex |
2.16.840.1.113762.1.4.1 |
References
Data Resource Center for Child and Adolescent Health, Child and Adolescent Health Measurement Initiative. (2007). 2007 National Survey of Children’s Health. Baltimore, MD: Author.
Edelstein, B. L., & Chinn, C. H. (2009). Update on disparities in oral health and access to dental care for America’s children. Academic Pediatrics, 9(6), 415-419.
Fleming, E., & Afful, J. (2018). Prevalence of total and untreated dental carries among youth: United States, 2015-2016. NCHS Data Brief No. 307. Hyattsville, MD: National Center for Health Statistics.
Milgrom, P., Zero, D. T., & Tanzer, J. M. (2009). An examination of the advances in science and technology of prevention of tooth decay in young children since the Surgeon General’s Report on Oral Health. Academic Pediatrics, 9(6), 404-409.
Disclaimer
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Copyright
This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.
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Source:
https://ecqi.healthit.gov/ecqm/measures/cms75v8