2026 Specialty Measure Set

2026 MIPS Quality Measures for Preventive Medicine

The 20 MIPS quality measures designated by CMS for the Preventive Medicine specialty set. These are the measures preventive medicine specialists are most likely to report on—though any MIPS-eligible measure can be submitted.

20measures
10high priority
19with benchmarks
10topped out
Related:MIPS Reporting & Strategy →MIPS Cost Category →VBCA's QCDR →
ID ↑Measure eCQMType Status
MIPS 001Diabetes: Glycemic Status Assessment Greater Than 9%CMS122v14High PriorityBenchmark
MIPS 024Communication with the Physician or Other Clinician Managing On-Going Care Post-—High PriorityTopped Out
MIPS 039Screening for Osteoporosis for Women Aged 65-85 Years of Age—ProcessBenchmark
MIPS 047Advance Care Plan—High PriorityTopped Out
MIPS 048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in—ProcessTopped Out
MIPS 116Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis—High PriorityTopped Out
MIPS 126Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological Evaluation—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 182Functional Outcome Assessment—High PriorityTopped Out
MIPS 243Cardiac Rehabilitation Patient Referral from an Outpatient Setting—High PriorityBenchmark
MIPS 374Closing the Referral Loop: Receipt of Specialist ReportCMS50v14High PriorityTopped Out
MIPS 431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief—ProcessBenchmark
MIPS 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS347v9ProcessBenchmark
MIPS 488Kidney Health EvaluationCMS951v3ProcessBenchmark
MIPS 493Adult Immunization Status—ProcessBenchmark
MIPS 497Preventive Care and Wellness (Composite)—ProcessBenchmark
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

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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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