CMS 75 - Children Who Have Dental Decay or Cavities

Updated: 08/23/2021
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CMS 75 / Quality ID #378

Percentage of children, age 6 months - 20 years of age, who have had tooth decay or cavities during the measurement period.

Denominator:	Children, age 6 months -20 years of age at the start of the measurement period, with a clinical oral evaluation during the measurement. Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account. Create a note detailing the patient’s office visit.
Denominator Exclusions:	If patient was in Hospice during the measurement period: Hospice is documented under Hospitalizations/Procedures in History. These patients will be excluded from the denominator.
Numerator:	Children who had a diagnosis of cavities or decayed teeth overlapping the measurement period. The diagnosis of "Tooth Decay" or "Cavities" is entered in the patient’s Problem List. Add a Start Date to the problem.
Office Visit Documentation:	Enter Procedure Codes including E/M Codes or HCPCS Codes on the Superbill. Complete and sign the note. Once all steps have been completed, the measure will be added to the Quality Measures Report.
Inverse Measure:	A lower score indicates better quality.
Measure type:	Outcome
High Priority Measure:	Yes
Telehealth Eligible:	No