2026 Specialty Measure Set

2026 MIPS Quality Measures for Orthopedic Surgery

The 29 MIPS quality measures designated by CMS for the Orthopedic Surgery specialty set. These are the measures orthopedic surgery specialists are most likely to report on—though any MIPS-eligible measure can be submitted.

29measures
20high priority
26with benchmarks
14topped out
Related:MIPS Reporting & Strategy →MIPS Cost Category →ASM Preparation for Orthopedic Surgery →VBCA's QCDR →
ID ↑Measure eCQMType Status
MIPS 024Communication with the Physician or Other Clinician Managing On-Going Care Post-—High PriorityTopped Out
MIPS 047Advance Care Plan—High PriorityTopped Out
MIPS 130Documentation of Current Medications in the Medical RecordCMS68v15High PriorityTopped Out
MIPS 134Preventive Care and Screening: Screening for Depression and Follow-Up PlanCMS2v15ProcessTopped Out
MIPS 155Falls: Plan of Care—High PriorityTopped Out
MIPS 178Rheumatoid Arthritis (RA): Functional Status Assessment—ProcessTopped Out
MIPS 180Rheumatoid Arthritis (RA): Glucocorticoid Management—ProcessTopped Out
MIPS 182Functional Outcome Assessment—High PriorityTopped Out
MIPS 217Functional Status Change for Patients with Knee Impairments—High PriorityBenchmark
MIPS 218Functional Status Change for Patients with Hip Impairments—High PriorityBenchmark
MIPS 219Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments—High PriorityBenchmark
MIPS 220Functional Status Change for Patients with Low Back Impairments—High PriorityBenchmark
MIPS 221Functional Status Change for Patients with Shoulder Impairments—High PriorityBenchmark
MIPS 222Functional Status Change for Patients with Elbow, Wrist or Hand Impairments—High PriorityBenchmark
MIPS 226Preventive Care and Screening: Tobacco Use: Screening and CessationCMS138v14ProcessTopped Out
MIPS 317Preventive Care and Screening: Screening for High Blood Pressure and Follow-UpCMS22v14ProcessTopped Out
MIPS 350Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-—High PriorityTopped Out
MIPS 351Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk—High PriorityTopped Out
MIPS 358Patient-Centered Surgical Risk Assessment and Communication—High PriorityTopped Out
MIPS 374Closing the Referral Loop: Receipt of Specialist ReportCMS50v14High PriorityTopped Out
MIPS 418Osteoporosis Management in Women Who Had a Fracture—ProcessBenchmark
MIPS 459Back Pain After Lumbar Surgery—High PriorityBenchmark
MIPS 461Leg Pain After Lumbar Surgery—High PriorityBenchmark
MIPS 470Functional Status After Primary Total Knee Replacement—High PriorityBenchmark
MIPS 471Functional Status After Lumbar Surgery—High PriorityBenchmark
MIPS 478Functional Status Change for Patients with Neck Impairments—High 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: Orthopedic Surgery

Orthopedic Surgery 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 Orthopedic Surgery →

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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