CMS 74 - Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

Overview

CMS74v9 (2020)

CMS74v10 (2021)

CMS74v11 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS74v11379

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionPercentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period
Initial Patient PopulationChildren, 6 months - 20 years of age, with a visit during the measurement period
DenominatorEquals Initial Population
Denominator ExclusionsExclude patients who are in hospice care for any part of the measurement period.
NumeratorChildren who receive a fluoride varnish application during the measurement period
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
Stratification
  • 6 months-5 years
  • 6-12 years
  • 13-20 years
GranularityPatient
Improvement NotationHigher score indicates better quality
DomainEffective Clinical Care

Clinical Instructions

Track reports of dental fluoride application for all patients 6 months to 20 years of age.

Workflow

  1. While documenting the Visit encounter, record the procedure, as appropriate
  2. Open the Preventive Care section
  3. Add Fluoride Application
  4. Enter the nearest completed date and save the order as completed
  5. Continue documenting the encounter, as appropriate
  6. When completed, Close and Archive the encounter

Evidence

Initial Patient Population

NameValue Set
Encounter, Performed: Clinical Oral Evaluation2.16.840.1.113883.3.464.1003.125.12.1003
Encounter, Performed: Office Visit2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Online Assessments2.16.840.1.113883.3.464.1003.101.12.1089
Encounter, Performed: Preventive Care - Established Office Visit, 0 to 172.16.840.1.113883.3.464.1003.101.12.1024
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up2.16.840.1.113883.3.464.1003.101.12.1023
Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 172.16.840.1.113883.3.464.1003.101.12.1022
Encounter, Performed: Telephone Visits2.16.840.1.113883.3.464.1003.101.12.1080

Denominator Exclusions

NameValue Set
Encounter, Performed: Encounter Inpatient2.16.840.1.113883.3.666.5.307
Intervention, Order: Hospice care ambulatory2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory2.16.840.1.113762.1.4.1108.15

Numerator

NameValue Set
Procedure, Performed: Fluoride Varnish Application for Children2.16.840.1.113883.3.464.1003.125.12.1002

Source(s)

eCQI CMS74


WebChart Documentation

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