The 2026 MIPS quality measures CMS lists as relevant to General Surgery. Pick the highest-scoring set for your practice — our certified consultants can help.
Reporting MIPS for a General Surgery 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 General Surgery; open any for its full numerator, denominator, and exclusions.
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not…
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…
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…
Percentage of patient visits for patients aged 18 years and older seen during the performance period who were screened for high blood pressure AND a recommended follow-up plan is documented, as indicated, if blood pressure is elevated or hypertensive. Instructions This measure is to be…
Percentage of patients aged 18 years and older who required an anastomotic leak intervention following gastric bypass or colectomy surgery. Instructions This measure is to be submitted each time a procedure for gastric bypass or colectomy surgery is performed during the performance period. There is…
Percentage of patients aged 18 years and older who had any unplanned reoperation within the 30-day postoperative period. Instructions This measure is to be submitted each time an operative procedure listed in the denominator is performed during the performance period. There is no diagnosis associated…
Percentage of patients aged 18 years and older who had an unplanned hospital readmission within 30 days of principal procedure. Instructions This measure is to be submitted each time a surgical procedure listed in the denominator is performed during the performance period. There is no…
Percentage of patients aged 18 years and older who had a surgical site infection (SSI). Instructions This measure is to be submitted each time a denominator eligible procedure as defined in the denominator criteria is performed. Intent and Clinician Applicability: This measure is intended to…
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon. Instructions This measure…
Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred. Instructions This measure is to be submitted a minimum of once per performance period for denominator eligible cases as defined…
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