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	eCQM	Type	Status
MIPS 130	Documentation of Current Medications in the Medical Record	CMS68v15	High Priority	Topped Out
MIPS 187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	—	Process	Topped Out
MIPS 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS138v14	Process	Topped Out
MIPS 344	Rate of Carotid Endarterectomy (CEA) or Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	—	High Priority	Benchmark
MIPS 413	Door to Puncture Time for Endovascular Stroke Treatment	—	High Priority	Benchmark
MIPS 459	Back Pain After Lumbar Surgery	—	High Priority	Benchmark
MIPS 461	Leg Pain After Lumbar Surgery	—	High Priority	Benchmark
MIPS 471	Functional Status After Lumbar Surgery	—	High Priority	Benchmark

All Specialty Sets

Allergy/Immunology12 Anesthesiology4 Audiology10 Cardiology22 Certified Nurse Midwife11 Chiropractic Medicine8 Clinical Social Work19 Dentistry2 Dermatology11 Diagnostic Radiology6 Electrophysiology Cardiac Specialist2 Emergency Medicine10 Endocrinology16 Family Medicine62 Gastroenterology11 General Surgery10 Geriatrics22 Hospitalists4 Infectious Disease15 Internal Medicine57 Interventional Radiology13 Mental/Behavioral Health20 Nephrology17 Neurology22 Neurosurgical8 Nutrition/Dietician8 Obstetrics/Gynecology23 Oncology/Hematology24 Ophthalmology17 Optometry6 Orthopedic Surgery29 Otolaryngology20 Pathology7 Pediatrics16 Physical Medicine9 Physical Therapy/Occupational Therapy25 Plastic Surgery7 Podiatry9 Preventive Medicine20 Pulmonology14 Radiation Oncology4 Rheumatology15 Skilled Nursing Facility12 Speech Language Pathology10 Thoracic Surgery10 Urgent Care11 Urology21 Vascular 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 →

VBCA-Developed Measures

CMS-approved measures available through VBCA:

AVBC1

Ischemic Imaging Stewardship in CCD

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.

Get a measure-mix review →