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

Overview

CMS74v9 (2020)
CMS74v10 (2021)
CMS74v11 (2022)

Identifiers

CMS eCQM ID	NQF eCQM ID	NQF	MIPS Quality ID
CMS74v11	–	–	379

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Description	Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period
Initial Patient Population	Children, 6 months - 20 years of age, with a visit during the measurement period
Denominator	Equals Initial Population
Denominator Exclusions	Exclude patients who are in hospice care for any part of the measurement period.
Numerator	Children who receive a fluoride varnish application during the measurement period
Numerator Exclusions	–
Denominator Exceptions	–

Additional Information

Measure Type	Process measure
Measure Scoring	Proportion measure
Stratification	6 months-5 years 6-12 years 13-20 years
Granularity	Patient
Improvement Notation	Higher score indicates better quality
Domain	Effective 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

Name	Value Set
Encounter, Performed: Clinical Oral Evaluation	2.16.840.1.113883.3.464.1003.125.12.1003
Encounter, Performed: Office Visit	2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Online Assessments	2.16.840.1.113883.3.464.1003.101.12.1089
Encounter, Performed: Preventive Care - Established Office Visit, 0 to 17	2.16.840.1.113883.3.464.1003.101.12.1024
Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up	2.16.840.1.113883.3.464.1003.101.12.1025
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up	2.16.840.1.113883.3.464.1003.101.12.1023
Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17	2.16.840.1.113883.3.464.1003.101.12.1022
Encounter, Performed: Telephone Visits	2.16.840.1.113883.3.464.1003.101.12.1080

Denominator Exclusions

Name	Value Set
Encounter, Performed: Encounter Inpatient	2.16.840.1.113883.3.666.5.307
Intervention, Order: Hospice care ambulatory	2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory	2.16.840.1.113762.1.4.1108.15

Numerator

Name	Value Set
Procedure, Performed: Fluoride Varnish Application for Children	2.16.840.1.113883.3.464.1003.125.12.1002

Source(s)

eCQI CMS74