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 |
| CMS75v7 |
75 |
2019 |
7.2.000 |
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. Data from the National Health and Nutrition Examination Survey from 2011-2012 showed that approximately 23% of children aged 2-5 years had dental caries in primary teeth. Untreated tooth decay in primary teeth among children aged 2-8 was twice as high for Hispanic and non-Hispanic black children compared with non-Hispanic white children. Among those aged 6-11, 27% of Hispanic children had any dental caries in permanent teeth compared with nearly 18% of non-Hispanic white and Asian children. About three in five adolescents aged 12-19 had experienced dental caries in permanent teeth, and 15% had untreated tooth decay.
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 |
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
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.
Dye BA, Thornton-Evans G, Li X, Iafolla TJ. Dental caries and sealant prevalence in children and adolescents in the United States, 2011-2012. NCHS data brief, no 191. Hyattsville, MD: National Center for Health Statistics. 2015.
Disclaimer
The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.
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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/cms75v7