Quality - 30% of total score: Choose 6 measures, including one Outcome or other High Priority measure, and include 100% of denominator eligible encounters (entire year, all insurances). Report (provide answers for) at least 75% to receive a score based on 2026 National Benchmarks.
ID:024NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #024: Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient’s on-going care, that a fracture occurred and that the patient was or should be considered for osteoporosis treatment or testing. This measure is submitted by the physician who treats the fracture and who therefore is held accountable for the communication.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- Family Medicine
- Internal Medicine
- Interventional Radiology
- Orthopedic Surgery
- Preventive Medicine
- Rheumatology
ID:130NQF:0419eeMeasure ID:CMS68v11High Priority:Yes2026 MIPS Measure #130: Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
Measure Type- Process
Specialty- Allergy/Immunology
- Audiology
- Cardiology
- Certified Nurse Midwife
- Clinical Social Work
- Dermatology
- Endocrinology
- Family Medicine
- Gastroenterology
- General Surgery
- Geriatrics
- Hospitalists
- Infectious Disease
- Internal Medicine
- Interventional Radiology
- Mental/Behavioral Health
- Nephrology
- Neurology
- Neurosurgery
- Nutrition/Dietician
- Obstetrics/Gynecology
- Oncology/Hematology
- Ophthalmology
- Optometry
- Orthopedic Surgery
- Otolaryngology
- Physical Medicine
- Physical Therapy/Occupational Therapy
- Plastic Surgery
- Preventive Medicine
- Pulmonology
- Rheumatology
- Speech/Language Pathology
- Thoracic Surgery
- Urgent Care
- Urology
- Vascular Surgery
ID:145NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #145: Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- Diagnostic Radiology
- Interventional Radiology
ID:355NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #355: Unplanned Reoperation within the 30 Day Postoperative Period
Percentage of patients aged 18 years and older who had any unplanned reoperation within the 30-day postoperative period.
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Interventional Radiology
- Otolaryngology
- Plastic Surgery
ID:356NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #356: Unplanned Hospital Readmission within 30 Days of Principal Procedure
Percentage of patients aged 18 years and older who had an unplanned hospital readmission within 30 days of principal procedure.
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Interventional Radiology
- Plastic Surgery
- Thoracic Surgery
ID:357NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #357: Surgical Site Infection (SSI)
Percentage of patients aged 18 years and older who had a surgical site infection (SSI).
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Interventional Radiology
- Otolaryngology
- Plastic Surgery
- Vascular Surgery
ID:358NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #358: Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Interventional Radiology
- Orthopedic Surgery
- Otolaryngology
- Plastic Surgery
- Podiatry
- Thoracic Surgery
- Urology
- Vascular Surgery
ID:374NQF:eMeasure ID:CMS50v14High Priority:Yes2026 MIPS Measure #374: Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred.
Measure Type- Process
Specialty- Allergy/Immunology
- Cardiology
- Dermatology
- Endocrinology
- Family Medicine
- Gastroenterology
- General Surgery
- Internal Medicine
- Interventional Radiology
- Neurology
- Obstetrics/Gynecology
- Oncology/Hematology
- Ophthalmology
- Optometry
- Orthopedic Surgery
- Otolaryngology
- Physical Medicine
- Preventive Medicine
- Pulmonology
- Rheumatology
- Thoracic Surgery
- Urology
- Vascular Surgery
ID:413NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #413: Door to Puncture Time for Endovascular Stroke Treatment
Percentage of patients undergoing endovascular stroke treatment who have a door to puncture time of 90 minutes or less.
Measure Type- Intermediate Outcome
SpecificationsRegistry Link
RegistrySpecialty- Interventional Radiology
- Neurosurgery
ID:418NQF:0053eMeasure ID:2026 MIPS Measure #418: Osteoporosis Management in Women Who Had a Fracture
The percentage of women 50-85 years of age who suffered a fracture and who had either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the 180 days after the fracture.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- Endocrinology
- Family Medicine
- Internal Medicine
- Interventional Radiology
- Obstetrics/Gynecology
- Orthopedic Surgery
ID:420NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #420: Varicose Vein Treatment with Saphenous Ablation: Outcome Survey
Percentage of patients treated for varicose veins (CEAP C2-S) who are treated with saphenous ablation (with or without adjunctive tributary treatment) that report an improvement on a disease specific patient reported outcome survey instrument after treatment.
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- Interventional Radiology
- Vascular Surgery
ID:421NQF:eMeasure ID:2026 MIPS Measure #421: Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal
Percentage of patients in whom a retrievable IVC filter is placed who, within 3 months post-placement, have a documented assessment for the appropriateness of continued filtration, device removal, or the inability to contact the patient with at least two attempts.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- Interventional Radiology
ID:465NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #465: Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries
The percentage of patients with documentation of angiographic endpoints of embolization AND the documentation of embolization strategies in the presence of unilateral or bilateral absent uterine arteries.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- Interventional Radiology
- Measures #145, #409, #413 and #465 make up the Interventional Radiology EMA Set.
- PI: Promoting Interoperability - 25% of total score: For a minimum of 180 days, report all required measures. EHR technology certified to the 2015 Cures Update must be in place by July 5, 2026. There are exclusions available for most of the required measures. Please check your QPP Participation Status to see if you are automatically exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category making it 55% of your score.
- Actions to Limit or Restrict Compatibility or Interoperability of CEHRT Attestation
- e-Prescribing
- Query of Prescription Drug Monitoring Program (PDMP)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops by Sending Health Information (option 1)
- Support Electronic Referral Loops by Receiving and Reconciling Health Information (option 1)
- Health Information Exchange (HIE) Bi-Directional Exchange (option 2)
- Enabling Exchange under TEFCA (Option 3)
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- ONC Direct Review Attestation
- Public Health Reporting Using TEFCA
- IA: Improvement Activities - 15% of total score: Attest that you completed 2 Improvement Activities for a minimum of 90 days. Groups with 15 or fewer participants or if you are in a rural or health professional shortage area: Attest that you completed 1 Improvement Activity for a minimum of 90 days. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year. Suggestions that might be applicable to your specialty include:
- IA_CC_8 - Implementation of documentation improvements for practice/process improvements
- IA_CC_13 - Practice improvements for bilateral exchange of patient information
- IA_PSPA_18 - Measurement and improvement at the practice and panel level
- IA_PSPA_19 - Implementation of formal quality improvement methods, practice changes or other practice improvement processes
- Full list of Improvement Activities