CMS75v13: Children Who Have Dental Decay or Cavities

Percentage of children, ages 1 - 20 years of age at the start of the measurement period, who have had dental decay or cavities during the measurement period as determined by a dentist *Inverse Measure: Lower Score indicates better performance

Note: This measure can only be completed by a dentist

Numerator

Children who had a diagnosis of cavities or decayed teeth overlapping the measurement period

A diagnosis of “Dental Caries” is added to the patient problem list. The following diagnoses apply:

  • K02.3
  • K02.51
  • K02.52
  • K02.53
  • K02.61
  • K02.62
  • K02.63
  • K02.7
  • K02.9

Denominator

Children, ages 1 year - 20 years of age, with a clinical oral evaluation during the measurement period

Note: Only dental billing codes apply to this measure. General medical exam codes do not qulaify

Exclusions:

Exclude patients whose hospice or palliative care overlaps the measurement period:

  • Identified in the patient's Alerts and Directives, located in the demographic screen or the Summary Sheet, in the name, text or comments saved with that alert/directive. The Alert/Directive should include either of the following phrases:
    • palliative
    • hospice