2026 Specialty Measure Set

2026 MIPS Quality Measures for Neurosurgical

The 8 MIPS quality measures designated by CMS for the Neurosurgical specialty set. These are the measures neurosurgical specialists are most likely to report on—though any MIPS-eligible measure can be submitted.

8measures
6high priority
8with benchmarks
3topped out
ID Measure eCQMType Status
MIPS 130Documentation of Current Medications in the Medical RecordCMS68v15High PriorityTopped Out
MIPS 187Stroke and Stroke Rehabilitation: Thrombolytic TherapyProcessTopped Out
MIPS 226Preventive Care and Screening: Tobacco Use: Screening and CessationCMS138v14ProcessTopped Out
MIPS 344Rate of Carotid Endarterectomy (CEA) or Carotid Artery Stenting (CAS) forHigh PriorityBenchmark
MIPS 413Door to Puncture Time for Endovascular Stroke TreatmentHigh PriorityBenchmark
MIPS 459Back Pain After Lumbar SurgeryHigh PriorityBenchmark
MIPS 461Leg Pain After Lumbar SurgeryHigh PriorityBenchmark
MIPS 471Functional Status After Lumbar SurgeryHigh PriorityBenchmark

All Specialty Sets

Allergy/Immunology12Anesthesiology4Audiology10Cardiology22Certified Nurse Midwife11Chiropractic Medicine8Clinical Social Work19Dentistry2Dermatology11Diagnostic Radiology6Electrophysiology Cardiac Specialist2Emergency Medicine10Endocrinology16Family Medicine62Gastroenterology11General Surgery10Geriatrics22Hospitalists4Infectious Disease15Internal Medicine57Interventional Radiology13Mental/Behavioral Health20Nephrology17Neurology22Neurosurgical8Nutrition/Dietician8Obstetrics/Gynecology23Oncology/Hematology24Ophthalmology17Optometry6Orthopedic Surgery29Otolaryngology20Pathology7Pediatrics16Physical Medicine9Physical Therapy/Occupational Therapy25Plastic Surgery7Podiatry9Preventive Medicine20Pulmonology14Radiation Oncology4Rheumatology15Skilled Nursing Facility12Speech Language Pathology10Thoracic Surgery10Urgent Care11Urology21Vascular Surgery12

⚠️ ASM Alert: Neurosurgical

Neurosurgical is one of the first specialties subject to the mandatory Ambulatory Specialty Model starting January 2027. ASM quality measures overlap with this specialty set.

ASM Preparation for Neurosurgical

Need help selecting measures?

VBCA's clinical policy team helps practices choose the right measure mix based on patient population, benchmark opportunity, and program requirements.

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