Measure ID: MIPS 164·Cardiac Surgery·2026 Performance Year

2026 MIPS Measure #164: Coronary Artery Bypass Graft (CABG): Prolonged Intubation

Percentage of patients aged 18 years and older undergoing isolated coronary artery bypass graft (CABG) surgery who require postoperative intubation > 24 hours.

Outcome – High PriorityCardiac SurgeryPatient Safety

Measure ID:MIPS 164 (Quality ID 164)

CBE:129

Collection:MIPS CQM

Topped Out:No

View CMS Spec ↗

Measure Specification

Eligible Population

Patients aged ≥ 18 years on date of surgery

ANDPatient procedure during the performance period

ORPatient procedure during the performance period

ANDPatient procedure during the performance period

Exclusions

None

Numerator

Patients undergoing isolated CABG who require postoperative intubation > 24 hours.

Reporting Codes

Performance Met:

G8569Prolonged postoperative intubation (> 24 hrs.) required

Performance Not Met:

G8570Prolonged postoperative intubation (> 24 hrs.) not required

VBCA Insights

Why This Measure Matters

Patients who need prolonged breathing support after bypass surgery (over 24 hours) face longer ICU stays, higher costs, and worse long-term outcomes. This outcome measure tracks how often your bypass patients avoid this complication. Better performance comes from optimizing anesthesia, surgical technique, and post-operative management to get patients off the ventilator faster. Collaborative protocols between surgery and ICU teams can meaningfully reduce ventilator time.

VBCA is a CMS-approved Qualified Clinical Data Registry (QCDR) and can submit MIPS Measure 164 to the Quality Payment Program (QPP) as a MIPS Clinical Quality Measure (CQM). CMS lists these 2026 collection types for the measure: MIPS CQM.

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 164 Benchmarks

Historical CMS benchmark deciles for MIPS quality measure 164 by collection type. Your performance rate falls into a decile, which determines your measure points (3–10).

MIPS CQM

Decile	Performance Rate Range	Points

Specialty Measure Sets

Thoracic Surgery

Related Measures

Cardiac Surgery

MIPS 167: Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure MIPS 168: Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration MIPS 445: Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)

Patient Safety

MIPS 130: Documentation of Current Medications in the Medical Record MIPS 145: Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy MIPS 155: Falls: Plan of Care MIPS 168: Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration MIPS 181: Elder Maltreatment Screen and Follow-Up Plan MIPS 259: Rate 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)MIPS 275: Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy MIPS 286: Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia MIPS 351: Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation MIPS 354: Anastomotic Leak Intervention MIPS 355: Unplanned Reoperation within the 30-Day Postoperative Period MIPS 357: Surgical Site Infection (SSI)MIPS 374: Closing the Referral Loop: Receipt of Specialist Report MIPS 384: Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery MIPS 385: Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery MIPS 392: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation MIPS 393: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision MIPS 413: Door to Puncture Time for Endovascular Stroke Treatment MIPS 422: Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury MIPS 432: Proportion of Patients Sustaining a Bladder or Bowel Injury at the time of any Pelvic Organ Prolapse Repair MIPS 513: Patient Reported Falls and Plan of Care

Official Resources

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

Clinical Context

Clinical Rationale

Based on the STS coronary artery bypass graft (CABG) study population, the morbidity rate associated with prolonged intubation following CABG is 5.96%. Also, prolonged ventilation (defined as > 24 hours) was an independent predictor for readmission to the ICU following CABG surgery (OR=10.53; CI: 6.18 to 17.91). Shorter ventilation times are linked to high quality of care (i.

e., reduced in-hospital and operative mortality, as well as better long-term outcomes as compared to prolonged ventilation).

Clinical Recommendations

Extubation greater than (>) 24 hours postoperatively is considered a “pulmonary complication”. Patients who were extubated more than 24 hours after surgery had a longer duration of hospital stay and a greater incidence of postoperative complications.

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 procedure measure is submitted each time a procedure is performed during the performance period. This is an inverse measure which means a lower calculated performance rate for this measure indicates better clinical care or control.

The “Performance Not Met” numerator option for this measure is the representation of the better clinical quality or control. Submitting that numerator option will produce a performance rate that trends closer to 0%, as quality increases. For inverse measures, a rate of 100% means all of the denominator eligible patients did not receive the appropriate care or were not in proper control.

Frequently Asked Questions

Who is eligible for MIPS 164?

All patients undergoing isolated CABG surgery.

Is MIPS 164 the same as MIPS 164?

Yes. CMS uses zero-padded three-digit Quality IDs (164) in official specifications, while clinicians often search for MIPS 164 or Quality ID 164 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 164: Coronary Artery Bypass Graft (CABG): Prolonged Intubation?

Submission codes: G8569 (Prolonged postoperative intubation (> 24 hrs.) required); G8570 (Prolonged postoperative intubation (> 24 hrs.) not required)

What is the NQF number for MIPS Measure 164?

MIPS Measure 164 is associated with CBE/NQF number 129.

How do I report MIPS Measure 164 in 2026?

For the 2026 performance year, CMS lists 1 collection type for MIPS Measure 164 (Quality ID 164): MIPS CQM. MIPS CQMs are submitted through a qualified registry or QCDR.

Is MIPS 164 a topped-out measure?

No, MIPS 164 is not topped out, meaning there is still meaningful performance variation across clinicians.

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