Measure ID: MIPS 440|Dermatology|2026 Performance Year

Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician

Percentage of biopsies with a diagnosis of cutaneous basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within 7 days from the time when the tissue specimen was received by the pathologist.

Process – High PriorityDermatologyCare Coordination

Last updated: January 15, 2026

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Measure Specification

Denominator (Eligible Population)

Diagnosis for cutaneous basal carcinoma or squamous cell carcinoma
ORDiagnosis for melanoma
OROther malignant diagnosis
ANDPatient procedure during the performance period

Denominator Exclusions2

G9784Pathologists/Dermatopathologists providing a second opinion on a biopsy
G9939Pathologists/Dermatopathologists is the same clinician who performed the biopsy

Numerator

Number of final pathology reports diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma or melanoma (to include in situ disease) sent from the Pathologist/Dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist.

Submission Codes (QDCs)

✓ Performance Met
G9785Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the Pathologist/ Dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist
✗ Performance Not Met
G9786Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) was not sent from the Pathologist/ Dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist

Denominator Exceptions

M1166Denominator Exception: Pathology report for tissue specimens produced from wide local excisions or re-excisions

🧮MIPS Score Simulator

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VBCA Insights

💡Why This Measure Matters

When a skin biopsy shows melanoma, basal cell carcinoma, or squamous cell carcinoma, fast communication from pathology to the treating clinician is critical so treatment can start promptly. This measure tracks whether pathologists deliver final reports within 7 days of receiving the specimen. Delays increase patient anxiety and can postpone surgical or systemic treatment. Work with your pathology lab to identify bottlenecks and prioritize skin cancer biopsies for rapid turnaround.

📖Clinical Rationale

Effective communication through the biopsy report between pathologist and referring physician is essential as delay may directly affect patient care. Furthermore, lack of timely delivery of results can increase the cost of medical care, error and the anxiety the patient experiences in waiting for results. This measure seeks to ensure timely communication and effective treatment for the patient.

📝Clinical Recommendations

“[Pathology] reports should be issued in a timely manner. Failure to report results promptly may delay patient care (thus uselessly adding to the cost of medical care), [and] lead to error and confusion…”

📋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. To be eligible for this measure, the denominator must be met during the measurement period of 01/01/2026 to 12/24/2026.

This is to provide sufficient time for the pathology results to be received by the biopsying clinician and for the performance of the numerator to be met within the performance period.

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