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Children Who Have Dental Decay or Cavities

Measure Information 2022 Performance Period
CMS Measure ID CMS75v10
NQF Number Not Applicable
Measure Description

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

Initial Population Children, 6 months - 20 years of age, with a clinical oral evaluation during the measurement period
Denominator Statement

Equals Initial Population

Denominator Exclusions

Exclude patients who are in hospice care for any part of the measurement period.

Numerator Statement

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

Numerator Exclusions

Not applicable

Denominator Exceptions


Measure Steward Centers for Medicare & Medicaid Services (CMS)
Domain Community/Population Health
Measure Scoring Proportion measure
Measure Type Outcome measure
Improvement Notation

A lower score indicates better quality


This eCQM is a patient-based measure.

Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth.

This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center ( for more information on the QDM.

MIPS Quality ID 378
Meaningful Measure Preventive Care
Telehealth Eligible No
Previous Version

Release Notes


  • Updated the eCQM version number.

    Measure Section: eCQM Version Number

    Source of Change: Annual Update

  • Revised the measure description to align with the measure intent and guidance.

    Measure Section: Description

    Source of Change: Measure Lead

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Added clarifying language to the guidance section indicating that the measure is not eligible for telehealth visit.

    Measure Section: Guidance

    Source of Change: Measure Lead

  • Replaced 'overlaps' or 'overlapping' in the denominator exclusions with plain language to clarify the measure intent.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead


  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated Hospice CQL Library to version 3.0.000.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

  • Value set Dental Caries (2.16.840.1.113883.3.464.1003.125.12.1004): Deleted 10 ICD-9-CM codes (521.00, 521.01, 521.02, 521.03, 521.04, 521.05, 521.06, 521.07, 521.08, 521.09) based on validity of code during timing of look back period.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Jan 03, 2022