Measure ID: MIPS 050·Functional Assessment·2026 Performance Year

2026 MIPS Measure #050: 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

Measure ID:MIPS 050 (Quality ID 50)

Collection:MIPS CQM

Topped Out:Yes

View CMS Spec ↗

Measure Specification

Eligible Population

All female patients aged ≥ 65 years on date of encounter

ANDDiagnosis for urinary incontinence

ANDPatient encounter during the performance period

Exclusions

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.

Reporting Codes

Performance Met:

0509FUrinary incontinence plan of care documented

Performance Not Met:

0509F with 8PUrinary incontinence plan of care not documented, reason not otherwise specified

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.

VBCA is a CMS-approved Qualified Clinical Data Registry (QCDR) that submits MIPS Measure 050 to the Quality Payment Program (QPP). Practices can report this measure as a MIPS Clinical Quality Measure (CQM) or through qualified registry submission.

🧮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

💡 Tip: Enter your performance rate to compare MIPS points across all collection types. The same rate can score differently depending on how you submit.

2026 MIPS 050 Benchmarks

Historical CMS benchmark deciles for MIPS quality measure 050 by collection type. Your performance rate falls into a decile, which determines your measure points (3–10).

MIPS CQMAvg. performance rate: 93.17%Topped Out — 7-point cap

Decile	Performance Rate Range	Points
Decile 1	1.51 - 81.96%	1 – 1.9
Decile 2	81.97 - 89.57%	2 – 2.9
Decile 3	89.58 - 96.56%	3 – 3.9
Decile 4	96.57 - 99.99%	4 – 4.9
Decile 10	100.00%	10

Specialty Measure Sets

Family Medicine Geriatrics Internal Medicine Obstetrics/Gynecology Physical Therapy/Occupational Therapy Urology

Related Measures

Functional Assessment

MIPS 048: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in MIPS 126: Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological Evaluation MIPS 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of MIPS 178: Rheumatoid Arthritis (RA): Functional Status Assessment MIPS 182: Functional Outcome Assessment MIPS 282: Dementia: Functional Status Assessment MIPS 502: Improvement or Maintenance of Functioning for Individuals with a Mental and/or

Geriatrics

MIPS 048: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in MIPS 155: Falls: Plan of Care MIPS 181: Elder Maltreatment Screen and Follow-Up Plan MIPS 238: Use of High-Risk Medications in Older Adults MIPS 282: Dementia: Functional Status Assessment MIPS 286: Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia MIPS 288: Dementia: Education and Support of Caregivers for Patients with Dementia MIPS 500: Acute Posterior Vitreous Detachment Appropriate Examination and Follow-up MIPS 501: Acute Posterior Vitreous Detachment and Acute Vitreous Hemorrhage Appropriate MIPS 513: Patient Reported Falls and Plan of Care

Urology

MIPS 048: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in MIPS 102: Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate MIPS 250: Radical Prostatectomy Pathology Reporting MIPS 422: Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse MIPS 432: Proportion of Patients Sustaining a Bladder or Bowel Injury at the time of any Pelvic

Official Resources

📄 CMS Measure Specification (PDF)🔗 QPP Quality Payment Program

Clinical Context

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.

Frequently Asked Questions

Who is eligible for MIPS 050?

All female patients aged 65 years and older with a diagnosis of urinary incontinence.

Is MIPS 50 the same as MIPS 050?

Yes. CMS uses zero-padded three-digit Quality IDs (050) in official specifications, while clinicians often search for MIPS 50 or Quality ID 50 without the leading zero. Both refer to the same 2026 MIPS quality measure reported through the Quality Payment Program (QPP).

What codes do I submit for MIPS 050: Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years?

Submission codes: 0509F (Urinary incontinence plan of care documented); 0509F with 8P (Urinary incontinence plan of care not documented, reason not otherwise specified)

How do I report MIPS Measure 050 in 2026?

MIPS Measure 050 (Quality ID 50) is reported through the Quality Payment Program (QPP) as a MIPS Clinical Quality Measure (CQM) via qualified registry, or Medicare Part B claims where applicable.

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.

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