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 |
CMS75v5 |
75 |
2017 |
5.1.000 |
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 cavities have been identified as the most common chronic disease for children. Nationally, 19.4% of children have dental decay or cavities.
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. Children with decay are also more likely to have other oral health problems such as toothaches, broken teeth, and bleeding gums.
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 |
Face-to-Face Interaction |
2.16.840.1.113883.3.464.1003.101.12.1048 |
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 |
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
Child and Adolescent Health Measurement Initiative. 2007 National Survey of Children's Health, Data Resource Center for Child Adolescent Health website. www.nschdata.org
Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America's children. Acad Pediatr.2009;9(6):415-419.
Milgrom P, Zero DT, Tanzer JM. 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. Acad Pediatr. 2009;9(6):404-409.
Disclaimer
These performance Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications.
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Copyright
Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications.
CPT(R) contained in the Measure specifications is copyright 2004-2015 American Medical Association. LOINC(R) copyright 2004-2015 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2015 International Health Terminology Standards Development Organisation. ICD-10 copyright 2015 World Health Organization. All Rights Reserved.
Source:
https://ecqi.healthit.gov/ecqm/measures/cms75v5