Is MIPS 050 a topped-out measure?

Yes, MIPS 050 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 050|Functional Assessment|2026 Performance Year

Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years

Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months.

Process – High PriorityFunctional 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

ANDDiagnosis for urinary incontinence

ANDPatient encounter during the performance period

Denominator Exclusions1

G9694Hospice services utilized by patient any time during the measurement period

Numerator

Patients with a documented plan of care for urinary incontinence at least once within 12 months.

Submission Codes (QDCs)

✓ Performance Met

0509FUrinary incontinence plan of care documented

✗ Performance Not Met

0509F with 8PUrinary incontinence plan of care not documented, 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 ensures women with urinary incontinence have a documented treatment plan addressing their symptoms and goals. Treatment options are diverse—from behavioral strategies like bladder training to medications or specialist referral—and most patients improve substantially with targeted care. Discuss treatment preferences and document the agreed-upon plan, including follow-up timing. Treating incontinence improves patient dignity, activity levels, and overall well-being.

📖Clinical Rationale

A treatment option should be documented for the patient with incontinence.

📝Clinical Recommendations

All conservative management options used in younger adults can be used in selected frail, older, motivated people. This includes: Bladder retraining Pelvic muscle exercises including biofeedback and/or electro-stimulation (ICI) (Grade B) Pharmacologic agents, especially oxybutynin and tolterodine, may have a small beneficial effect on improving symptoms of detrusor over activity in women.

(ACOG) (Level A) Oxybutynin and potentially other bladder relaxants can improve the effectiveness of behavioral therapies in frail older persons.

📋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 for the performance period. The most advantageous quality data code (QDC) will be used if the measure is submitted more than once.

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Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years

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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