Who is eligible for MIPS 048?

All female patients aged 65 years and older with a visit during the measurement period.

Is MIPS 048 a topped-out measure?

Yes, MIPS 048 is currently topped out, which means most clinicians perform well on this measure and it may be subject to a 7-point scoring cap.

Measure ID: MIPS 048|Functional Assessment|2026 Performance Year

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months.

ProcessFunctional AssessmentGeriatricsUrology

Last updated: January 15, 2026

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Measure Specification

Denominator (Eligible Population)

All female patients aged ≥ 65 years on date of encounter

ANDPatient encounter during the performance period

Denominator Exclusions1

G9693Patient use of hospice services any time during the measurement period

Numerator

Patients who were assessed for the presence or absence of urinary incontinence within 12 months.

Submission Codes (QDCs)

✓ Performance Met

1090FPresence or absence of urinary incontinence assessed

✗ Performance Not Met

1090F with 8PPresence or absence of urinary incontinence not assessed, reason not otherwise specified

Denominator Exceptions

None — this measure has no denominator exceptions.

🧮MIPS Score Simulator

Estimate only — actual CMS scoring may vary based on reporting method, data completeness, and annual rule updates.

Your Performance Rate:%Benchmarks vary by collection type

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VBCA Insights

💡Why This Measure Matters

This measure checks whether older women are routinely asked about urinary incontinence, since many won't volunteer this problem. Incontinence is treatable and profoundly affects quality of life; screening enables discussion of options ranging from pelvic floor exercises to medications. Add a simple screening question to your standard assessment for women 65 and older. A positive response opens the door to practical interventions that patients often greatly appreciate.

📖Clinical Rationale

Female patients may not volunteer information regarding incontinence, so they should be asked by their physician.

📝Clinical Recommendations

Strategies to increase recognition and reporting of urinary incontinence (UI) are required and especially the perception that it is an inevitable consequence of aging for which little or nothing can be done. (ICI) Patients with urinary incontinence should undergo a basic evaluation that includes a history, physical examination, measurement of post-void residual volume, and urinalysis.

(ACOG) (Level C) Health care providers should be able to initiate evaluation and treatment of UI basing their judgment on the results of history, physical examination, post-voiding residual and urinalysis.

📋Implementation Notes

This measure contains one strata defined by a single submission criteria. This measure produces a single performance rate. For the purposes of MIPS implementation, this patient-process measure is submitted a minimum of once per patient during the performance period. The most advantageous quality data code will be used if the measure is submitted more than once.

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Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in

Measure Specification

Denominator (Eligible Population)

Denominator Exclusions1

Numerator

Submission Codes (QDCs)

Denominator Exceptions

🧮MIPS Score Simulator

💡Why This Measure Matters

📖Clinical Rationale

📝Clinical Recommendations

📋Implementation Notes

Measure Details

Specialty Sets

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Official Resources

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