Children Who Have Dental Decay or Cavities (2021)
| eCQMs / NQF #: | CMS75v9 / XXXX |
| Measure: | Percentage of children, 6 months – 20 years of age, who have had tooth decay or cavities during the measurement period. |
| Numerator: | Children who had a diagnosis of cavities or decayed teeth overlapping the measurement period. |
| Denominator: | Children, 6 months – 20 years of age, with a clinical oral evaluation during the measurement period. |
| Denominator Exclusion: | Exclude patients whose hospice care overlaps the measurement period |
| Domain: | Community/Population Health |
In ChartMaker Clinical:
In order to qualify for this measure, the provider must have seen the patient at least one time during the reporting period and have the appropriate information documented in the chart:
Required Data Elements for the Denominator:
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note.
| SNOMED: | |
| Code | Description |
| 183452005 | Emergency hospital admission (procedure) |
| 32485007 | Hospital admission (procedure) |
| 8715000 | Hospital admission, elective (procedure) |
Required Data Elements for the Numerator:
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| K02.3 | Arrested dental caries |
| K02.51 | Dental caries on pit and fissure surface limited to enamel |
| K02.52 | Dental caries on pit and fissure surface penetrating into dentin |
| K02.53 | Dental caries on pit and fissure surface penetrating into pulp |
| K02.61 | Dental caries on smooth surface limited to enamel |
| K02.62 | Dental caries on smooth surface penetrating into dentin |
| K02.63 | Dental caries on smooth surface penetrating into pulp |
| K02.7 | Dental root caries |
| K02.9 | Dental caries, unspecified |
| SNOMED: | |
| Code | Description |
| 109564008 | Dental caries associated with enamel hypomineralization (disorder) |
| 109566005 | Dental caries associated with enamel hypoplasia (disorder) |
| 109568006 | Dental caries secondary to developmental defects of tooth structure (disorder) |
| 109569003 | Dental caries secondary to acquired defects of tooth structure (disorder) |
| 109570002 | Primary dental caries (disorder) |
| 109571003 | Primary dental caries, indeterminate origin (disorder) |
| 109572005 | Primary dental caries, cervical origin (disorder) |
| 109573000 | Primary dental caries, proximal smooth surface origin (disorder) |
| 109574006 | Primary dental caries, nonproximal smooth surface origin (disorder) |
| 109575007 | Primary dental caries, pit and fissure origin (disorder) |
| 109576008 | Primary dental caries, root surface origin (disorder) |
| 109577004 | Primary dental caries, multisurface origin (disorder) |
| 109578009 | Caries of infancy (disorder) |
| 109580003 | Caries of infancy associated with breast feeding (disorder) |
| 109581004 | Caries of infancy associated with bottle feeding (disorder) |
| 15733007 | Incipient enamel caries (disorder) |
| 163152009 | On examination – dental caries (disorder) |
| 196298000 | Acute dentine dental caries (disorder) |
| 196299008 | Chronic dentine dental caries (disorder) |
| 196301001 | Acute enamel dental caries (disorder) |
| 196302008 | Chronic enamel dental caries (disorder) |
| 196305005 | Odontoclasia (disorder) |
| 234976000 | Rampant dental caries (disorder) |
| 30512007 | Cementum caries (disorder) |
| 442231009 | Caries involving multiple surfaces of tooth (disorder) |
| 442551007 | Dental caries extending into dentin (disorder) |
| 699489009 | Dental caries class I (disorder) |
| 699490000 | Dental caries class II (disorder) |
| 699491001 | Dental caries class III (disorder) |
| 699492008 | Dental caries class IV (disorder) |
| 699494009 | Dental caries class V (disorder) |
| 699495005 | Dental caries class VI (disorder) |
| 700046006 | Carious exposure of pulp (disorder) |
| 702402003 | Early childhood caries (disorder) |
| 733939000 | Primary active dental caries extending into outer half of enamel (disorder) |
| 733940003 | Primary active dental caries extending into inner half of enamel (disorder) |
| 733941004 | Primary active dental caries extending into outer third of dentin (disorder) |
| 733942006 | Primary active dental caries extending into middle third of dentin (disorder) |
| 733943001 | Primary active dental caries extending into inner third of dentin (disorder) |
| 733944007 | Secondary active dental caries extending into outer half of enamel (disorder) |
| 733945008 | Secondary active dental caries extending into inner half of enamel (disorder) |
| 733946009 | Secondary active dental caries extending into outer third of dentin (disorder) |
| 733947000 | Secondary active dental caries extending into middle third of dentin (disorder) |
| 733948005 | Secondary active dental caries extending into inner third of dentin (disorder) |
| 733968004 | Active dental caries (disorder) |
| 733970008 | Primary active dental caries extending into enamel (disorder) |
| 733972000 | Primary active dental caries extending into dentin (disorder) |
| 733974004 | Secondary active dental caries extending into enamel (disorder) |
| 733976002 | Secondary active dental caries extending into dentin (disorder) |
| 733976002 | Secondary active dental caries extending into dentin (disorder) |
| 768639006 | Initial stage caries of crown of tooth (disorder) |
| 768641007 | Initial stage active caries of crown of tooth (disorder) |
| 768643005 | Moderate stage caries of crown of tooth (disorder) |
| 768646002 | Moderate stage active caries of crown of tooth (disorder) |
| 768649009 | Extensive stage caries of crown of tooth (disorder) |
| 768653006 | Extensive stage active caries of crown of tooth (disorder) |
| 769017001 | Active cavitated caries of tooth root (disorder) |
| 769020009 | Non-cavitated caries of tooth root (disorder) |
| 769021008 | Active non-cavitated caries of tooth root (disorder) |
| 80353004 | Enamel caries (disorder) |
| 80967001 | Dental caries (disorder) |
| 95246007 | Salivary dysfunction caries secondary to aging (disorder) |
| 95247003 | Salivary dysfunction caries caused by medication (disorder) |
| 95248008 | Salivary dysfunction caries secondary to radiation therapy (disorder) |
| 95249000 | Salivary dysfunction dental caries (disorder) |
| 95252008 | Secondary dental caries associated with failed or defective dental restoration (disorder) |
| 95253003 | Secondary dental caries associated with local or systemic factors (disorder) |
| 95254009 | Secondary dental caries (disorder) |
Denominator Exclusion:
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note.
| 385763009 | Hospice care (regime/therapy) |
| 385765002 | Hospice care management (procedure) |
ADDITIONAL INFORMATION:
- The patient must be 19 years old or younger when the measurement period starts.
- The only data used to determine the denominator is data from ChartMaker Clinical. If a patient encounter was not entered into Clinical, that encounter is not included in the denominator for the statistical calculations in the MIPS Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.