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, 6 months - 20 years of age at the start of the measurement period, who have had tooth decay or cavities during the measurement period as determined by a dentist.

Guidance

Patient Group Definitions

Group	Description	Instructions Links
Initial Population	Children, 6 months - 20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period	Webchart Instructions
Denominator	Equals Initial Population	Webchart Instructions
Denominator Exclusions	Exclude patients who are in hospice care for any part of the measurement period	Webchart Instructions
Numerator	Children who had a diagnosis of cavities or decayed teeth in any part of the measurement period	Webchart Instructions
Numerator Exclusions	Not Applicable	Webchart Instructions
Denominator Exceptions	None

Details

Full eMeasure Code	eMeasure Identifier	Measure Year	Version	NQF #	GUID
CMS75v11	75	2023	11	N/A	61947125-4376-4a7b-ab7a-ac2be9bd9138

Steward	Developer	Endorsed By
Centers for Medicare & Medicaid Services (CMS)	National Committee for Quality Assurance	None

Scoring Method	Measure Type	Stratification	Risk Adjustment
Proportion	Outcome	None	None

Rate Aggregation

None

Improvement Notation

A lower score indicates better quality

Rationale

Clinical Recommendation Statement

Definition

Transmission Format

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	Hospice Encounter	2.16.840.1.113883.3.464.1003.1003
Intervention, Order	Hospice Care Ambulatory	2.16.840.1.113883.3.526.3.1584
Intervention, Performed	Hospice Care Ambulatory	2.16.840.1.113883.3.526.3.1584
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