CMS75v11 – Children Who Have Dental Decay or Cavities

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

– NUMERATOR

Children who had a diagnosis of cavities or decayed teeth in any part of the measurement period

–Denominator Exclusions

Exclude patients who are in hospice care for any part of 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, add the diagnosis details and click ‘Save’. Then click ‘Accept’ and 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 

• Patients with hospice care assessment performed during the measurement period. To document the assessment, follow the workflow Patient > Clinical > Evaluations. Click ‘+ Add’ and search for an evaluation. Then select ‘Performed’ from the ‘Status’ dropdown and enter ‘Yes’ in the ‘Result’ field.
• Patients with hospice encounter during the measurement period. To document the hospice encounter, follow the workflow Patient > Clinical > Evaluations.