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

ID ↑	Measure	eCQM	Type	Status
MIPS 024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	—	High Priority	Topped Out
MIPS 047	Advance Care Plan	—	High Priority	Topped Out
MIPS 130	Documentation of Current Medications in the Medical Record	CMS68v15	High Priority	Topped Out
MIPS 134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	CMS2v15	Process	Topped Out
MIPS 155	Falls: Plan of Care	—	High Priority	Topped Out
MIPS 178	Rheumatoid Arthritis (RA): Functional Status Assessment	—	Process	Topped Out
MIPS 180	Rheumatoid Arthritis (RA): Glucocorticoid Management	—	Process	Topped Out
MIPS 182	Functional Outcome Assessment	—	High Priority	Topped Out
MIPS 217	Functional Status Change for Patients with Knee Impairments	—	High Priority	Benchmark
MIPS 218	Functional Status Change for Patients with Hip Impairments	—	High Priority	Benchmark
MIPS 219	Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments	—	High Priority	Benchmark
MIPS 220	Functional Status Change for Patients with Low Back Impairments	—	High Priority	Benchmark
MIPS 221	Functional Status Change for Patients with Shoulder Impairments	—	High Priority	Benchmark
MIPS 222	Functional Status Change for Patients with Elbow, Wrist or Hand Impairments	—	High Priority	Benchmark
MIPS 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS138v14	Process	Topped Out
MIPS 317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	CMS22v14	Process	Topped Out
MIPS 350	Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy	—	High Priority	Topped Out
MIPS 351	Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation	—	High Priority	Topped Out
MIPS 358	Patient-Centered Surgical Risk Assessment and Communication	—	High Priority	Topped Out
MIPS 374	Closing the Referral Loop: Receipt of Specialist Report	CMS50v14	High Priority	Topped Out
MIPS 418	Osteoporosis Management in Women Who Had a Fracture	—	Process	Benchmark
MIPS 459	Back Pain After Lumbar Surgery	—	High Priority	Benchmark
MIPS 461	Leg Pain After Lumbar Surgery	—	High Priority	Benchmark
MIPS 470	Functional Status After Primary Total Knee Replacement	—	High Priority	Benchmark
MIPS 471	Functional Status After Lumbar Surgery	—	High Priority	Benchmark
MIPS 478	Functional Status Change for Patients with Neck Impairments	—	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: 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 →

VBCA-Developed Measures

CMS-approved measures available through VBCA:

AVBC1

Ischemic Imaging Stewardship in CCD

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