2026 Specialty Measure Set

2026 MIPS Quality Measures for Physical Therapy/Occupational Therapy

The 25 MIPS quality measures designated by CMS for the Physical Therapy/Occupational Therapy specialty set. These are the measures physical therapy/occupational therapy specialists are most likely to report on, though any MIPS-eligible measure can be submitted.

25measures
16high priority
23with benchmarks
14topped out
Related:MIPS Reporting & Strategy →MIPS Cost Category →VBCA's QCDR →
ID ↑Measure eCQMType Status
MIPS 048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older—ProcessTopped Out
MIPS 050Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older—High PriorityTopped Out
MIPS 126Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological Evaluation—ProcessTopped Out
MIPS 127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear—ProcessTopped 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 181Elder Maltreatment Screen and Follow-Up Plan—High PriorityTopped 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 Cessation InterventionCMS138v14ProcessTopped Out
MIPS 286Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia—High PriorityTopped Out
MIPS 288Dementia: Education and Support of Caregivers for Patients with Dementia—High PriorityTopped Out
MIPS 291Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson’s—ProcessTopped Out
MIPS 317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedCMS22v14ProcessTopped Out
MIPS 478Functional Status Change for Patients with Neck Impairments—High PriorityBenchmark
MIPS 502Improvement or Maintenance of Functioning for Individuals with a Mental and/or Substance Use Disorder—High PriorityBenchmark
MIPS 503Gains in Patient Activation Measure (PAM) Scores at 12 Months—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

VBCA-Developed Measures

CMS-approved measures available through VBCA:

AVBC1

Heart Rate Control in Atrial Fibrillation

AVBC2

Echocardiogram Stewardship in CHF

AVBC3

SGLT2 Inhibitors in CKD

AVBC4

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.

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