Measure ID: MIPS 112·Breast Cancer·2026 Performance Year

2026 MIPS Measure #112: Breast Cancer Screening

Percentage of women 40 - 74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the measurement period.

ProcessBreast CancerPreventive Care
Measure ID:MIPS 112 (Quality ID 112)
Collection:—
Topped Out:No
View CMS Spec ↗

Measure Specification

Eligible Population
Patients 41 to 74 years of age at the beginning of the measurement period
ANDPatient encounter during the performance period
Exclusions
G9708Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
G9709Hospice services used by patient any time during the measurement period
G9992Palliative care services used by patient any time during the measurement period
G9898Patients age 66 or older in Institutional Special Needs Plans (SNP) or residing in long term care with POS code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
G2098Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2099Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND an advanced illness diagnosis during the measurement period or the year prior to the measurement period: G2099
Numerator
Women with one or more mammograms any time on or between October 1 two years prior to the measurement period and the end of the measurement period.
Reporting Codes

Performance Met:

G9899Screening, diagnostic, film, digital or digital breast Tomosynthesis (3D) mammography results documented and reviewed

Performance Not Met:

G9900Screening, diagnostic, film, digital or digital breast Tomosynthesis (3D) mammography results were not documented and reviewed, reason not otherwise specified
VBCA Insights

Why This Measure Matters

This measure tracks mammogram screening rates in women aged 40-74 to catch breast cancer early when treatment is most effective. Mammography substantially reduces breast cancer deaths; routine screening every 2-3 years is recommended for average-risk women. Document screening results in the chart and establish a system to remind eligible women when screening is due. Discuss benefits and risks with each patient to support informed choice.

The CMS 2026 benchmark file labels MIPS Measure 112 "Not available in Traditional MIPS." VBCA is a CMS-approved Qualified Clinical Data Registry (QCDR) and can submit MIPS Measure 112 to the Quality Payment Program (QPP) as a MIPS Clinical Quality Measure (CQM) or an eCQM. CMS lists these 2026 collection types for the measure: MIPS CQM, Medicare Part B Claims, and eCQM.

🧮MIPS Score Simulator

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

No benchmarks available for this measure.

Related Measures

Preventive Care
MIPS 039: Screening for Osteoporosis for Women Aged 65-85 Years of AgeMIPS 113: Colorectal Cancer ScreeningMIPS 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanMIPS 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionMIPS 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedMIPS 320: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk PatientsMIPS 336: Maternity Care: Postpartum Follow-up and Care CoordinationMIPS 394: Immunizations for AdolescentsMIPS 398: Optimal Asthma ControlMIPS 431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief CounselingMIPS 493: Adult Immunization StatusMIPS 497: Preventive Care and Wellness (Composite)

Clinical Context

Clinical Rationale

Breast cancer is one of the most common types of cancers, accounting for 15 percent of all new cancer diagnoses in the U.S.. In 2015, over 3 million women were estimated to be living with breast cancer in the U.S. and it is estimated that 12 percent of women will be diagnosed with breast cancer at some point during their lifetime. While there are other factors that affect a woman's risk of developing breast cancer, advancing age is a primary risk factor.

Breast cancer is most frequently diagnosed among women ages 55-64; the median age at diagnosis is 62 years. The chance of a woman being diagnosed with breast cancer in a given year increases with age. By age 40, the chances are 1 in 68; by age 50 it becomes 1 in 43; by age 60, it is 1 in 29.

Clinical Recommendations

The U.S. Preventive Services Task Force (USPSTF) recommends biennial screening mammography for women aged 40-74 years (B recommendation) (USPSTF, 2024). The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women aged 75 years or older (I statement) (USPSTF, 2024). The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of digital breast tomosynthesis (DBT) as a primary screening method for breast cancer (I Statement) (USPSTF, 2024).

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adjunctive screening for breast cancer using breast ultrasonography, magnetic resonance imaging, in women identified to have dense breasts on an otherwise negative screening mammogram (I statement) (USPSTF, 2024). The National Comprehensive Cancer Network (NCCN) and the American College of Radiology (ACR) recommend using conventional mammography or DBT for screening women at low, intermediate or high risk for breast cancer (NCCN, 2021) (ACR, 2017).

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 (QDC) will be used if the measure is submitted more than once.

This measure specification is only available for MIPS Value Pathway (MVP) reporting and is not available for traditional MIPS reporting.

Frequently Asked Questions

Who is eligible for MIPS 112?

Women 41 - 74 years of age with a visit during the measurement period.

Is MIPS 112 the same as MIPS 112?

Yes. CMS uses zero-padded three-digit Quality IDs (112) in official specifications, while clinicians often search for MIPS 112 or Quality ID 112 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 112: Breast Cancer Screening?

Submission codes: G9899 (Screening, diagnostic, film, digital or digital breast Tomosynthesis (3D) mammography results documented and reviewed); G9900 (Screening, diagnostic, film, digital or digital breast Tomosynthesis (3D) mammography results were not documented and reviewed, reason not otherwise specified)

How do I report MIPS Measure 112 in 2026?

The CMS 2026 benchmark file labels MIPS Measure 112 "Not available in Traditional MIPS." For the 2026 performance year, CMS lists 3 collection types for MIPS Measure 112 (Quality ID 112): MIPS CQM, Medicare Part B Claims, and eCQM. MIPS CQMs are submitted through a qualified registry or QCDR. Medicare Part B claims reporting is limited to clinicians in small practices. eCQMs require data from certified EHR technology (CEHRT).

Is MIPS 112 a topped-out measure?

No, MIPS 112 is not topped out, meaning there is still meaningful performance variation across clinicians.

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