2026 MIPS Quality Measures: Complete List

Every measure you can report for 2026, on one page

Every MIPS quality measure reportable through VBCA's CMS-approved registry for the 2026 performance year: 162 CMS measures and 4 VBCA-developed QCDR measures. Each measure page includes the full specification, national benchmark deciles, submission codes, and a MIPS score simulator.

How the 2026 list breaks down

CMS MIPS quality measures
162
with a CMS benchmark
159
topped out, so points may be capped
70
VBCA QCDR measures
4

In Quality ID order

All 2026 CMS MIPS Quality Measures

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What the status column means

Benchmark
CMS publishes a historical benchmark. Your rate falls into a decile from 1 to 10, which determines your measure points.
Topped out
Most clinicians already perform near the ceiling, so the measure may be capped at 7 points.
No benchmark
Scored against a performance-period benchmark computed after submission.
MIPS 001Diabetes: Glycemic Status Assessment Greater Than 9%High PriorityBenchmark
MIPS 005Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)ProcessTopped out
MIPS 006Coronary Artery Disease (CAD): Antiplatelet TherapyProcessTopped out
MIPS 007Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%)ProcessTopped out
MIPS 008Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)ProcessTopped out
MIPS 024Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and OlderHigh PriorityTopped out
MIPS 039Screening for Osteoporosis for Women Aged 65-85 Years of AgeProcessBenchmark
MIPS 047Advance Care PlanHigh PriorityTopped out
MIPS 048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and OlderProcessTopped out
MIPS 050Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and OlderHigh PriorityTopped out
MIPS 052Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation and Long-Acting Inhaled Bronchodilator TherapyProcessTopped out
MIPS 065Appropriate Treatment for Upper Respiratory Infection (URI)High PriorityTopped out
MIPS 066Appropriate Testing for PharyngitisHigh PriorityTopped out
MIPS 102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer PatientsHigh PriorityBenchmark
MIPS 112Breast Cancer ScreeningProcessNo benchmark
MIPS 113Colorectal Cancer ScreeningProcessNo benchmark
MIPS 116Avoidance of Antibiotic Treatment for Acute Bronchitis/BronchiolitisHigh PriorityTopped out
MIPS 117Diabetes: Eye ExamProcessTopped out
MIPS 118Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%)ProcessTopped out
MIPS 126Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological EvaluationProcessTopped out
MIPS 127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of FootwearProcessTopped out
MIPS 128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanProcessNo benchmark
MIPS 130Documentation of Current Medications in the Medical RecordHigh PriorityTopped out
MIPS 134Preventive Care and Screening: Screening for Depression and Follow-Up PlanProcessTopped out
MIPS 141Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 20% OR Documentation of a Plan of CareHigh PriorityTopped out
MIPS 143Oncology: Medical and Radiation – Pain Intensity QuantifiedHigh PriorityTopped out
MIPS 144Oncology: Medical and Radiation – Plan of Care for PainHigh PriorityTopped out
MIPS 145Radiology: Exposure Dose Indices Reported for Procedures Using FluoroscopyHigh PriorityTopped out
MIPS 155Falls: Plan of CareHigh PriorityTopped out
MIPS 164Coronary Artery Bypass Graft (CABG): Prolonged IntubationHigh PriorityBenchmark
MIPS 167Coronary Artery Bypass Graft (CABG): Postoperative Renal FailureHigh PriorityBenchmark
MIPS 168Coronary Artery Bypass Graft (CABG): Surgical Re-ExplorationHigh PriorityBenchmark
MIPS 176Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier TherapyProcessTopped out
MIPS 177Rheumatoid Arthritis (RA): Periodic Assessment of Disease ActivityProcessTopped out
MIPS 178Rheumatoid Arthritis (RA): Functional Status AssessmentProcessTopped out
MIPS 180Rheumatoid Arthritis (RA): Glucocorticoid ManagementProcessTopped out
MIPS 181Elder Maltreatment Screen and Follow-Up PlanHigh PriorityTopped out
MIPS 182Functional Outcome AssessmentHigh PriorityTopped out
MIPS 187Stroke and Stroke Rehabilitation: Thrombolytic TherapyProcessTopped out
MIPS 191Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract SurgeryHigh PriorityTopped out
MIPS 205Sexually Transmitted Infection (STI) Testing for People with HIVProcessBenchmark
MIPS 217Functional Status Change for Patients with Knee ImpairmentsHigh PriorityBenchmark
MIPS 218Functional Status Change for Patients with Hip ImpairmentsHigh PriorityBenchmark
MIPS 219Functional Status Change for Patients with Lower Leg, Foot or Ankle ImpairmentsHigh PriorityBenchmark
MIPS 220Functional Status Change for Patients with Low Back ImpairmentsHigh PriorityBenchmark
MIPS 221Functional Status Change for Patients with Shoulder ImpairmentsHigh PriorityBenchmark
MIPS 222Functional Status Change for Patients with Elbow, Wrist or Hand ImpairmentsHigh PriorityBenchmark
MIPS 226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionProcessTopped out
MIPS 236Controlling High Blood PressureHigh PriorityBenchmark
MIPS 238Use of High-Risk Medications in Older AdultsHigh PriorityTopped out
MIPS 243Cardiac Rehabilitation Patient Referral from an Outpatient SettingHigh PriorityBenchmark
MIPS 249Barrett’s EsophagusProcessTopped out
MIPS 250Radical Prostatectomy Pathology ReportingProcessTopped out
MIPS 259Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2)High PriorityBenchmark
MIPS 261Referral for Otologic Evaluation for Patients with Acute or Chronic DizzinessHigh PriorityBenchmark
MIPS 268Epilepsy: Counseling for Women of Childbearing Potential with EpilepsyProcessTopped out
MIPS 275Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) TherapyProcessBenchmark
MIPS 277Sleep Apnea: Severity Assessment at Initial DiagnosisProcessTopped out
MIPS 279Sleep Apnea: Assessment of Adherence to Obstructive Sleep Apnea (OSA) TherapyProcessTopped out
MIPS 282Dementia: Functional Status AssessmentProcessTopped out
MIPS 286Dementia: Safety Concern Screening and Follow-Up for Patients with DementiaHigh PriorityTopped out
MIPS 288Dementia: Education and Support of Caregivers for Patients with DementiaHigh PriorityTopped out
MIPS 291Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson’sProcessTopped out
MIPS 293Rehabilitative Therapy Referral for Patients with Parkinson’s DiseaseHigh PriorityTopped out
MIPS 303Cataracts: Improvement in Patient’s Visual Function within 90 Days Following CataractHigh PriorityBenchmark
MIPS 304Cataracts: Patient Satisfaction within 90 Days Following Cataract SurgeryHigh PriorityBenchmark
MIPS 317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedProcessTopped out
MIPS 320Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk PatientsHigh PriorityTopped out
MIPS 326Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation TherapyProcessTopped out
MIPS 331Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)High PriorityBenchmark
MIPS 332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)High PriorityTopped out
MIPS 335Maternity Care: Elective Delivery (Without Medical Indication) at < 39 Weeks (Overuse)High PriorityBenchmark
MIPS 336Maternity Care: Postpartum Follow-up and Care CoordinationHigh PriorityBenchmark
MIPS 338HIV Viral SuppressionHigh PriorityTopped out
MIPS 340HIV Annual Retention in CareHigh PriorityBenchmark
MIPS 344Rate of Carotid Endarterectomy (CEA) or Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)High PriorityBenchmark
MIPS 350Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) TherapyHigh PriorityTopped out
MIPS 351Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk EvaluationHigh PriorityTopped out
MIPS 354Anastomotic Leak InterventionHigh PriorityBenchmark
MIPS 355Unplanned Reoperation within the 30-Day Postoperative PeriodHigh PriorityBenchmark
MIPS 356Unplanned Hospital Readmission within 30 Days of Principal ProcedureHigh PriorityBenchmark
MIPS 357Surgical Site Infection (SSI)High PriorityBenchmark
MIPS 358Patient-Centered Surgical Risk Assessment and CommunicationHigh PriorityTopped out
MIPS 360Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine StudiesHigh PriorityTopped out
MIPS 364Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended GuidelinesHigh PriorityTopped out
MIPS 370Depression Remission at Twelve MonthsHigh PriorityBenchmark
MIPS 374Closing the Referral Loop: Receipt of Specialist ReportHigh PriorityTopped out
MIPS 383Adherence to Antipsychotic Medications For Individuals with SchizophreniaHigh PriorityBenchmark
MIPS 384Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of SurgeryHigh PriorityTopped out
MIPS 385Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of SurgeryHigh PriorityBenchmark
MIPS 386Amyotrophic Lateral Sclerosis (ALS) Patient Care PreferencesHigh PriorityBenchmark
MIPS 387Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug UsersProcessBenchmark
MIPS 389Cataract Surgery: Difference Between Planned and Final RefractionHigh PriorityBenchmark
MIPS 392Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation AblationHigh PriorityBenchmark
MIPS 393Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or RevisionHigh PriorityBenchmark
MIPS 394Immunizations for AdolescentsProcessBenchmark
MIPS 395Lung Cancer Reporting (Biopsy/Cytology Specimens)High PriorityTopped out
MIPS 396Lung Cancer Reporting (Resection Specimens)High PriorityTopped out
MIPS 397Melanoma ReportingHigh PriorityTopped out
MIPS 398Optimal Asthma ControlHigh PriorityBenchmark
MIPS 400One-Time Screening for Hepatitis C Virus (HCV) and Treatment InitiationProcessBenchmark
MIPS 401Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with CirrhosisProcessBenchmark
MIPS 404Anesthesiology Smoking AbstinenceHigh PriorityBenchmark
MIPS 405Appropriate Follow-up Imaging for Incidental Abdominal LesionsHigh PriorityTopped out
MIPS 406Appropriate Follow-up Imaging for Incidental Thyroid Nodules in PatientsHigh PriorityTopped out
MIPS 410Psoriasis: Clinical Response to Systemic MedicationsHigh PriorityBenchmark
MIPS 413Door to Puncture Time for Endovascular Stroke TreatmentHigh PriorityBenchmark
MIPS 415Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and OlderHigh PriorityTopped out
MIPS 416Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 YearsHigh PriorityBenchmark
MIPS 418Osteoporosis Management in Women Who Had a FractureProcessBenchmark
MIPS 420Varicose Vein Treatment with Saphenous Ablation: Outcome SurveyHigh PriorityBenchmark
MIPS 421Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for RemovalProcessBenchmark
MIPS 422Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract InjuryHigh PriorityBenchmark
MIPS 430Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination TherapyHigh PriorityTopped out
MIPS 431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief CounselingProcessBenchmark
MIPS 432Proportion of Patients Sustaining a Bladder or Bowel Injury at the time of any Pelvic Organ Prolapse RepairHigh PriorityBenchmark
MIPS 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseProcessBenchmark
MIPS 440Skin Cancer: Biopsy Reporting Time – Pathologist to ClinicianHigh PriorityTopped out
MIPS 441Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)High PriorityBenchmark
MIPS 445Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)High PriorityBenchmark
MIPS 448Appropriate Workup Prior to Endometrial AblationHigh PriorityBenchmark
MIPS 450Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast CancerHigh PriorityTopped out
MIPS 451RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who Receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody TherapyProcessBenchmark
MIPS 453Percentage of Patients who Died from Cancer Receiving Systemic Cancer-DirectedHigh PriorityBenchmark
MIPS 457Percentage of Patients who Died from Cancer Admitted to Hospice for Less than 3High PriorityTopped out
MIPS 459Back Pain After Lumbar SurgeryHigh PriorityBenchmark
MIPS 461Leg Pain After Lumbar SurgeryHigh PriorityBenchmark
MIPS 463Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics)High PriorityTopped out
MIPS 464Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate UseHigh PriorityTopped out
MIPS 465Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian ArteriesHigh PriorityBenchmark
MIPS 468Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)High PriorityBenchmark
MIPS 470Functional Status After Primary Total Knee ReplacementHigh PriorityBenchmark
MIPS 471Functional Status After Lumbar SurgeryHigh PriorityBenchmark
MIPS 477Multimodal Pain ManagementHigh PriorityTopped out
MIPS 478Functional Status Change for Patients with Neck ImpairmentsHigh PriorityBenchmark
MIPS 482Hemodialysis Vascular Access: Practitioner Level Long-term Catheter RateHigh PriorityBenchmark
MIPS 483Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM)High PriorityBenchmark
MIPS 485Psoriasis – Improvement in Patient-Reported Itch SeverityHigh PriorityBenchmark
MIPS 486Dermatitis – Improvement in Patient-Reported Itch SeverityHigh PriorityBenchmark
MIPS 488Kidney Health EvaluationProcessBenchmark
MIPS 489Adult Kidney Disease: Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) TherapyProcessTopped out
MIPS 490Appropriate Intervention of Immune-Related Diarrhea and/or Colitis in Patients TreatedProcessBenchmark
MIPS 491Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing StatusHigh PriorityTopped out
MIPS 493Adult Immunization StatusProcessBenchmark
MIPS 495Ambulatory Palliative Care Patients’ Experience of Feeling Heard and UnderstoodHigh PriorityBenchmark
MIPS 496Cardiovascular Disease (CVD) Risk Assessment Measure - Proportion of Pregnant/Postpartum Patients that Receive CVD Risk Assessment with a Standardized InstrumentProcessBenchmark
MIPS 497Preventive Care and Wellness (Composite)ProcessBenchmark
MIPS 499Appropriate Screening and Plan of Care for Elevated Intraocular Pressure Following Intravitreal or Periocular Steroid TherapyProcessBenchmark
MIPS 500Acute Posterior Vitreous Detachment Appropriate Examination and Follow-upProcessBenchmark
MIPS 501Acute Posterior Vitreous Detachment and Acute Vitreous Hemorrhage Appropriate Examination and Follow-upProcessBenchmark
MIPS 502Improvement or Maintenance of Functioning for Individuals with a Mental and/or Substance Use DisorderHigh PriorityBenchmark
MIPS 503Gains in Patient Activation Measure (PAM) Scores at 12 MonthsHigh PriorityBenchmark
MIPS 504Initiation, Review, and/or Update to Suicide Safety Plan for Individuals with SuicidalHigh PriorityBenchmark
MIPS 505Reduction in Suicidal Ideation or Behavior SymptomsHigh PriorityBenchmark
MIPS 506Positive PD-L1 Biomarker Expression Test Result Prior to First-Line Immune Checkpoint Inhibitor TherapyHigh PriorityBenchmark
MIPS 507Appropriate Germline Testing for Ovarian Cancer PatientsProcessBenchmark
MIPS 509Melanoma: Tracking and Evaluation of RecurrenceHigh PriorityBenchmark
MIPS 510First Year Standardized Kidney Transplant Waitlist Ratio (FYSWR)ProcessBenchmark
MIPS 511Percentage of Prevalent Patients Waitlisted for Kidney Transplant (PPPW) and Percentage of Prevalent Patients Waitlisted for Kidney Transplant in Active Status (aPPPW)ProcessBenchmark
MIPS 512Prevalent Standardized Kidney Transplant Waitlist Ratio (PSWR)ProcessBenchmark
MIPS 513Patient Reported Falls and Plan of CareProcessBenchmark
MIPS 516Hepatitis C Virus (HCV): Sustained Virological Response (SVR)High PriorityBenchmark

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