2026 MIPS Measures Relevant to Neurosurgery

The 2026 MIPS quality measures CMS lists as relevant to Neurosurgery. Pick the highest-scoring set for your practice — our certified consultants can help.

Reporting MIPS for a Neurosurgery practice means choosing 6 quality measures — including at least one Outcome or other High Priority measure — and reporting each on as many eligible cases as possible to be scored against CMS's national benchmarks. The measures below are the ones CMS lists as relevant to Neurosurgery; open any for its full numerator, denominator, and exclusions.

Showing 8 measures for Neurosurgery
High PriorityProcessEHRRegistryNQF: 0419

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. Instructions This measure is to be submitted at…

ProcessRegistry

Percentage of patients aged 18 years and older with a diagnosis of acute ischemic stroke who arrive at the hospital within 3.5 hours of time last known well and for whom IV thrombolytic therapy was initiated within 4.5 hours of time last known well. Instructions…

ProcessEHRRegistryNQF: 0028

Percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period AND who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period if identified as…

High PriorityOutcomeRegistry

Percent of asymptomatic patients undergoing Carotid Endarterectomy (CEA) or Carotid Artery Stenting (CAS) without major complication who are discharged to home no later than post-operative day #2. Instructions This measure is to be submitted each time a CEA or CAS is performed during the performance…

High PriorityIntermediate OutcomeRegistry

Percentage of patients undergoing endovascular stroke treatment who have a door to puncture time of 90 minutes or less. Instructions This measure is to be submitted each time a patient undergoes a procedure for treatment of a cerebrovascular accident (CVA) during the performance period. This…

High PriorityOutcomeRegistry

For patients 18 years of age or older who had a lumbar discectomy/laminectomy or fusion procedure, back pain is rated by the patients as less than or equal to 3.0 OR an improvement of 5.0 points or greater on the Visual Analog Scale (VAS) Pain…

High PriorityOutcomeRegistry

For patients 18 years of age or older who had a lumbar discectomy/laminectomy or fusion procedure, leg pain is rated by the patient as less than or equal to 3.0 OR an improvement of 5.0 points or greater on the Visual Analog Scale (VAS) Pain…

High PriorityOutcomeRegistry

For patients age 18 and older who had lumbar discectomy/laminectomy or fusion procedure, functional status is rated by the patient as less than or equal to 22 OR an improvement of 30 points or greater on the Oswestry Disability Index (ODI version 2.1a) * at…

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