2026 Specialty Measure Set

2026 MIPS Quality Measures for Urgent Care

The 11 MIPS quality measures designated by CMS for the Urgent Care specialty set. These are the measures urgent care specialists are most likely to report on—though any MIPS-eligible measure can be submitted.

11measures
7high priority
11with benchmarks
8topped out
Related:MIPS Reporting & Strategy →MIPS Cost Category →VBCA's QCDR →
ID ↑Measure eCQMType Status
MIPS 065Appropriate Treatment for Upper Respiratory Infection (URI)CMS154v14High PriorityTopped Out
MIPS 066Appropriate Testing for PharyngitisCMS146v14High PriorityTopped Out
MIPS 116Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis—High PriorityTopped Out
MIPS 130Documentation of Current Medications in the Medical RecordCMS68v15High PriorityTopped Out
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 331Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)—High PriorityBenchmark
MIPS 332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate—High PriorityTopped Out
MIPS 431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief—ProcessBenchmark
MIPS 464Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of—High PriorityTopped Out
MIPS 488Kidney Health EvaluationCMS951v3ProcessBenchmark

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

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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