CMS75v9 – Children Who Have Dental Decay or Cavities

Children, 6 months – 20 years of age, with a clinical oral evaluation during the measurement period.

– NUMERATOR

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

–Denominator Exclusions

Exclude patients whose hospice care overlaps the measurement period.

For Denominator:

All patients aged 6 months – 20 years at the start of the measurement period, with a qualifying encounter during the measurement year. To record an encounter, navigate to Patient > Provider Note > eSuperbill. Under the ‘Procedure- CPTs’ heading, enter the encounter code.

• Clinical Oral Evaluation

For Numerator:

Include patients with ‘Dental Caries’ diagnosis during the measurement year. To record the ‘Dental Caries’ diagnosis, use the workflow Patient > Provider Note > Diagnoses, and click ‘Add’. Search for the ‘Dental Caries’ diagnosis and add the diagnosis details. Then click ‘Save’. The diagnosis is added to the provider note.

Denominator Exclusions:

Exclude patients who received hospice care during the measurement year. To document that patient is receiving hospice care outside of a hospital or long term care facility, navigate to Patient > Clinical > Evaluations. Use the below mentioned codes to order or perform an intervention:

• 385763009: Hospice Care (Regime/Therapy)
• 385765002: Hospice Care Management (Procedure)

• To document an encounter inpatient, navigate to Patient > Clinical > Evaluations