2023 MIPS CMS Specialty
Measure Sets are now live!
Looking to report specialty measure sets? Start by searching for your specialty below. This allows you to report on measures that are specific to your practice and patient population, which can result in more accurate data and better insights into your performance. Get started now and be more satisfied with your MIPS results. *note* If a measure set has less than six measures report the full measure set
- 2022 CMS Specialty Measure Sets
| Quality Id | Measure Name | Measure Type | hf:tax:specialty_measure_sets | |
|---|---|---|---|---|
| 303 | Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery | Patient Reported Outcome | Details | ophthalmology-optometry |
| 304 | Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery | Patient Engagement/Experience | Details | ophthalmology-optometry |
| 009 | Anti-depressant Medication Management | Process | Details | family-medicine internal-medicine mental-behavioral-health-and-psychiatry |
| 107 | Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | Process | Details | emergency-medicine family-medicine internal-medicine mental-behavioral-health-and-psychiatry |
| 305 | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment | Process | Details | family-medicine internal-medicine mental-behavioral-health-and-psychiatry pediatrics |
| 309 | Cervical Cancer Screening | Process | Details | family-medicine internal-medicine obstetrics-gynecology |
| 318 | Falls: Screening for Future Fall Risk | Process | Details | audiology family-medicine geriatrics internal-medicine nephrology orthopedic-surgery otolaryngology physical-therapy-occupational-therapy podiatry |
| 377 | Functional Status Assessments for Heart Failure | Process | Details | family-medicine internal-medicine |
| 472 | Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture | Process | Details | family-medicine internal-medicine obstetrics-gynecology |
| 475 | HIV Screening | Process | Details | family-medicine infectious-disease internal-medicine obstetrics-gynecology preventive-medicine |
| 382 | Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment | Process | Details | clinical-social-work mental-behavioral-health-and-psychiatry pediatrics |
| 378 | Children Who Have Dental Decay or Cavities | Outcome | Details | dentistry |
| 379 | Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists | Process | Details | dentistry |
| 462 | Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy | Process | Details | endocrinology oncology-hematology urology |
| 281 | Dementia: Cognitive Assessment | Process | Details | geriatrics mental-behavioral-health-and-psychiatry neurology physical-therapy-occupational-therapy |
| 240 | Childhood Immunization Status | Process | Details | infectious-disease pediatrics |
| 366 | Follow-Up Care for Children Prescribed ADHD Medication (ADD) | Process | Details | mental-behavioral-health-and-psychiatry pediatrics |
| 239 | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents | Process | Details | nutrition-dietician pediatrics |
| 310 | Chlamydia Screening for Women | Process | Details | obstetrics-gynecology pediatrics |
| 012 | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | Process | Details | ophthalmology-optometry |
| 476 | Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia | Patient Reported Outcome Performance | Details | family-medicine geriatrics internal-medicine urology |
| 481 | Intravesical Bacillus-Calmette-Guerin for non-muscle invasive bladder cancer | Process | Details | urology |
| 001 | Diabetes: Hemoglobin A1c Poor Control | Process | Details | endocrinology family-medicine internal-medicine nephrology nutrition-dietician preventive-medicine |
| 005 | Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) | Process | Details | cardiology family-medicine hospitalists internal-medicine |
| 006 | Coronary Artery Disease (CAD): Antiplatelet Therapy | Process | Details | cardiology family-medicine internal-medicine skilled-nursing-facility |
| 007 | Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%) | Process | Details | cardiology family-medicine internal-medicine skilled-nursing-facility |
| 008 | Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) | Process | Details | cardiology family-medicine hospitalists internal-medicine skilled-nursing-facility |
| 039 | Screening for Osteoporosis for Women Aged 65-85 Years of Age | Process | Details | endocrinology family-medicine geriatrics internal-medicine obstetrics-gynecology preventive-medicine rheumatology |
| 047 | Advance Care Plan | Process | Details | cardiology clinical-social-work family-medicine gastroenterology general-surgery geriatrics hospitalists internal-medicine nephrology neurology obstetrics-gynecology oncology-hematology orthopedic-surgery otolaryngology physical-medicine preventive-medicine pulmonology rheumatology skilled-nursing-facility thoracic-surgery urology vascular-surgery |
| 048 | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | Process | Details | family-medicine geriatrics internal-medicine obstetrics-gynecology physical-therapy-occupational-therapy preventive-medicine urology |
| 050 | Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older | Process | Details | family-medicine geriatrics internal-medicine obstetrics-gynecology physical-therapy-occupational-therapy urology |
| 065 | Appropriate Treatment for Upper Respiratory Infection (URI) | Process | Details | emergency-medicine family-medicine infectious-disease pediatrics urgent-care |
| 066 | Appropriate Testing for Pharyngitis | Process | Details | emergency-medicine family-medicine infectious-disease otolaryngology pediatrics urgent-care |
| 093 | Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use | Process | Details | emergency-medicine family-medicine internal-medicine otolaryngology pediatrics urgent-care |
| 112 | Breast Cancer Screening | Process | Details | family-medicine obstetrics-gynecology preventive-medicine |
| 102 | Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients | Process | Details | oncology-hematology radiation-oncology urology |
| 014 | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | Process | Details | ophthalmology-optometry |
| 019 | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | Process | Details | ophthalmology-optometry |
| 052 | Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy | Process | Details | pulmonology |
| 104 | Prostate Cancer: Combination Androgen Deprivation Therapy for High Risk or Very High Risk Prostate Cancer | Process | Details | urology |
| 130 | Documentation of Current Medications in the Medical Record | Process | Details | allergy-immunology audiology cardiology clinical-social-work dermatology endocrinology family-medicine gastroenterology general-surgery geriatrics hospitalists infectious-disease internal-medicine mental-behavioral-health-and-psychiatry nephrology neurology neurosurgical nutrition-dietician obstetrics-gynecology oncology-hematology ophthalmology-optometry orthopedic-surgery physical-medicine physical-therapy-occupational-therapy plastic-surgery preventive-medicine pulmonology rheumatology speech-language-pathology thoracic-surgery urgent-care urology vascular-surgery |
| 113 | Colorectal Cancer Screening | Process | Details | family-medicine preventive-medicine |
| 116 | Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis | Process | Details | emergency-medicine family-medicine internal-medicine pediatrics preventive-medicine urgent-care |
| 117 | Diabetes: Eye Exam | Process | Details | endocrinology family-medicine internal-medicine ophthalmology-optometry |
| 126 | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation | Process | Details | endocrinology family-medicine internal-medicine physical-therapy-occupational-therapy podiatry preventive-medicine |
| 128 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | Process | Details | cardiology endocrinology family-medicine gastroenterology general-surgery internal-medicine mental-behavioral-health-and-psychiatry nutrition-dietician obstetrics-gynecology orthopedic-surgery otolaryngology physical-medicine physical-therapy-occupational-therapy plastic-surgery podiatry preventive-medicine pulmonology rheumatology urology vascular-surgery |
| 134 | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Process | Details | audiology clinical-social-work emergency-medicine endocrinology family-medicine geriatrics internal-medicine mental-behavioral-health-and-psychiatry neurology oncology-hematology orthopedic-surgery pediatrics physical-therapy-occupational-therapy preventive-medicine speech-language-pathology urology |
| 155 | Falls: Plan of Care | Process | Details | audiology family-medicine geriatrics neurology orthopedic-surgery otolaryngology physical-medicine physical-therapy-occupational-therapy podiatry preventive-medicine skilled-nursing-facility |
| 118 | Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%) | Process | Details | cardiology endocrinology skilled-nursing-facility |
| 137 | Melanoma: Continuity of Care – Recall System | Process | Details | dermatology |
| 138 | Melanoma: Coordination of Care | Process | Details | dermatology |
| 145 | Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy | Process | Details | diagnostic-radiology interventional-radiology |
| 147 | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | Process | Details | diagnostic-radiology |
| 143 | Oncology: Medical and Radiation – Pain Intensity Quantified | Process | Details | oncology-hematology radiation-oncology |
| 144 | Oncology: Medical and Radiation – Plan of Care for Pain | Process | Details | oncology-hematology radiation-oncology |
| 141 | Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care | Outcome | Details | ophthalmology-optometry |
| 127 | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear | Process | Details | physical-therapy-occupational-therapy podiatry |
| 164 | Coronary Artery Bypass Graft (CABG): Prolonged Intubation | Outcome | Details | thoracic-surgery |
| 167 | Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure | Outcome | Details | thoracic-surgery |
| 168 | Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration | Outcome | Details | thoracic-surgery |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | Process | Details | allergy-immunology audiology cardiology clinical-social-work dermatology emergency-medicine endocrinology family-medicine gastroenterology general-surgery geriatrics infectious-disease internal-medicine mental-behavioral-health-and-psychiatry nephrology neurology neurosurgical nutrition-dietician obstetrics-gynecology ophthalmology-optometry orthopedic-surgery otolaryngology physical-medicine physical-therapy-occupational-therapy plastic-surgery podiatry preventive-medicine pulmonology radiation-oncology rheumatology skilled-nursing-facility speech-language-pathology thoracic-surgery urgent-care urology vascular-surgery |
| 238 | Use of High-Risk Medications in Older Adults | Process | Details | allergy-immunology cardiology family-medicine geriatrics internal-medicine oncology-hematology ophthalmology-optometry otolaryngology pulmonology rheumatology skilled-nursing-facility urology |
| 176 | Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy | Process | Details | dermatology family-medicine infectious-disease internal-medicine rheumatology |
| 181 | Elder Maltreatment Screen and Follow-Up Plan | Process | Details | audiology clinical-social-work family-medicine geriatrics internal-medicine mental-behavioral-health-and-psychiatry neurology nutrition-dietician physical-therapy-occupational-therapy skilled-nursing-facility speech-language-pathology |
| 182 | Functional Outcome Assessment | Process | Details | audiology family-medicine nephrology orthopedic-surgery physical-medicine physical-therapy-occupational-therapy preventive-medicine speech-language-pathology |
| 236 | Controlling High Blood Pressure | Process | Details | cardiology endocrinology family-medicine internal-medicine obstetrics-gynecology pulmonology rheumatology vascular-surgery |
| 243 | Cardiac Rehabilitation Patient Referral from an Outpatient Setting | Process | Details | cardiology family-medicine internal-medicine preventive-medicine |
| 187 | Stroke and Stroke Rehabilitation: Thrombolytic Therapy | Process | Details | cardiology emergency-medicine neurosurgical |
| 185 | Colonoscopy Interval for Patients with a History of Adenomatous Polyps – Avoidance of Inappropriate Use | Process | Details | gastroenterology |
| 205 | HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis | Process | Details | infectious-disease pediatrics |
| 191 | Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery | Outcome | Details | ophthalmology-optometry |
| 178 | Rheumatoid Arthritis (RA): Functional Status Assessment | Process | Details | orthopedic-surgery physical-therapy-occupational-therapy rheumatology |
| 180 | Rheumatoid Arthritis (RA): Glucocorticoid Management | Process | Details | orthopedic-surgery rheumatology |
| 217 | Functional Status Change for Patients with Knee Impairments | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 218 | Functional Status Change for Patients with Hip Impairments | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 219 | Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 220 | Functional Status Change for Patients with Low Back Impairments | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 221 | Functional Status Change for Patients with Shoulder Impairments | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 249 | Barrett's Esophagus | Process | Details | pathology |
| 177 | Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity | Process | Details | rheumatology |
| 317 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | Process | Details | allergy-immunology cardiology dermatology emergency-medicine family-medicine gastroenterology general-surgery internal-medicine mental-behavioral-health-and-psychiatry nephrology neurology obstetrics-gynecology oncology-hematology orthopedic-surgery otolaryngology physical-medicine plastic-surgery preventive-medicine rheumatology skilled-nursing-facility urgent-care urology vascular-surgery |
| 261 | Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness | Process | Details | audiology |
| 322 | Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low-Risk Surgery Patients | Process | Details | cardiology |
| 282 | Dementia: Functional Status Assessment | Process | Details | clinical-social-work geriatrics mental-behavioral-health-and-psychiatry neurology |
| 283 | Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management | Process | Details | clinical-social-work geriatrics mental-behavioral-health-and-psychiatry neurology physical-therapy-occupational-therapy |
| 286 | Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia | Process | Details | clinical-social-work geriatrics mental-behavioral-health-and-psychiatry neurology physical-therapy-occupational-therapy |
| 288 | Dementia: Education and Support of Caregivers for Patients with Dementia | Process | Details | clinical-social-work geriatrics mental-behavioral-health-and-psychiatry neurology physical-therapy-occupational-therapy |
| 254 | Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain | Process | Details | emergency-medicine |
| 275 | Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy | Process | Details | gastroenterology |
| 320 | Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients | Process | Details | gastroenterology |
| 264 | Sentinel Lymph Node Biopsy for Invasive Breast Cancer | Process | Details | general-surgery |
| 277 | Sleep Apnea: Severity Assessment at Initial Diagnosis | Process | Details | internal-medicine neurology otolaryngology pulmonology |
| 279 | Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy | Process | Details | internal-medicine neurology otolaryngology pulmonology |
| 268 | Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy | Process | Details | neurology |
| 290 | Assessment of Mood Disorders and Psychosis for Patients with Parkinson’s Disease | Process | Details | neurology |
| 291 | Parkinson’s Disease: Cognitive Impairment or Dysfunction Assessment for Patients with Parkinson's Disease | Process | Details | neurology |
| 293 | Rehabilitative Therapy Referral for Patients with Parkinson's Disease | Process | Details | neurology |
| 250 | Radical Prostatectomy Pathology Reporting | Process | Details | oncology-hematology pathology |
| 259 | Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2) | Outcome | Details | vascular-surgery |
| 260 | Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2) | Outcome | Details | vascular-surgery |
| 331 | Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) | Process | Details | allergy-immunology emergency-medicine family-medicine internal-medicine otolaryngology urgent-care |
| 332 | Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) | Process | Details | allergy-immunology emergency-medicine family-medicine internal-medicine otolaryngology urgent-care |
| 338 | HIV Viral Load Suppression | Outcome | Details | allergy-immunology family-medicine infectious-disease internal-medicine |
| 340 | HIV Medical Visit Frequency | Process | Details | allergy-immunology infectious-disease |
| 374 | Closing the Referral Loop: Receipt of Specialist Report | Process | Details | allergy-immunology cardiology dermatology endocrinology family-medicine gastroenterology general-surgery internal-medicine interventional-radiology neurology obstetrics-gynecology oncology-hematology ophthalmology-optometry orthopedic-surgery otolaryngology physical-medicine preventive-medicine pulmonology rheumatology thoracic-surgery urology vascular-surgery |
| 326 | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | Process | Details | cardiology family-medicine internal-medicine skilled-nursing-facility |
| 370 | Depression Remission at Twelve Months | Outcome | Details | clinical-social-work family-medicine geriatrics internal-medicine mental-behavioral-health-and-psychiatry pediatrics |
| 324 | Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients | Process | Details | cardiology |
| 344 | Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2) | Outcome | Details | cardiology neurosurgical vascular-surgery |
| 360 | Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies | Process | Details | diagnostic-radiology |
| 364 | Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines | Process | Details | diagnostic-radiology |
| 354 | Anastomotic Leak Intervention | Outcome | Details | general-surgery |
| 355 | Unplanned Reoperation within the 30 Day Postoperative Period | Outcome | Details | general-surgery otolaryngology plastic-surgery |
| 356 | Unplanned Hospital Readmission within 30 Days of Principal Procedure | Outcome | Details | general-surgery plastic-surgery thoracic-surgery |
| 357 | Surgical Site Infection (SSI) | Outcome | Details | general-surgery otolaryngology plastic-surgery vascular-surgery |
| 358 | Patient-Centered Surgical Risk Assessment and Communication | Process | Details | general-surgery orthopedic-surgery otolaryngology plastic-surgery thoracic-surgery urology vascular-surgery |
| 335 | Maternity Care: Elective Delivery (Without Medical Indication) at < 39 Weeks (Overuse) | Outcome | Details | obstetrics-gynecology |
| 336 | Maternity Care: Postpartum Follow-Up and Care Coordination | Process | Details | obstetrics-gynecology |
| 350 | Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Nonsurgical) Therapy | Process | Details | orthopedic-surgery |
| 351 | Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation | Process | Details | orthopedic-surgery |
| 398 | Optimal Asthma Control | Outcome | Details | allergy-immunology family-medicine internal-medicine otolaryngology pediatrics pulmonology |
| 402 | Tobacco Use and Help with Quitting Among Adolescents | Process | Details | allergy-immunology cardiology clinical-social-work dermatology family-medicine gastroenterology general-surgery internal-medicine mental-behavioral-health-and-psychiatry neurology obstetrics-gynecology oncology-hematology orthopedic-surgery otolaryngology pediatrics preventive-medicine pulmonology rheumatology thoracic-surgery urgent-care vascular-surgery |
| 383 | Adherence to Antipsychotic Medications for Individuals with Schizophrenia | Process | Details | clinical-social-work family-medicine internal-medicine |
| 387 | Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users | Process | Details | family-medicine infectious-disease internal-medicine |
| 394 | Immunizations for Adolescents | Process | Details | family-medicine infectious-disease pediatrics |
| 400 | One-Time Screening for Hepatitis C Virus (HCV) for all Patients | Process | Details | family-medicine internal-medicine nephrology |
| 401 | Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis | Process | Details | family-medicine gastroenterology internal-medicine |
| 404 | Anesthesiology Smoking Abstinence | Process | Details | anesthesiology |
| 392 | HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation | Outcome | Details | electrophysiology-cardiac-specialist |
| 393 | HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision | Outcome | Details | electrophysiology-cardiac-specialist |
| 405 | Appropriate Follow-up Imaging for Incidental Abdominal Lesions | Process | Details | diagnostic-radiology |
| 406 | Appropriate Follow-Up Imaging for Incidental Thyroid Nodules in Patients | Process | Details | diagnostic-radiology |
| 409 | Clinical Outcome Post-Endovascular Stroke Treatment | Outcome | Details | interventional-radiology neurosurgical |
| 386 | Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences | Process | Details | neurology |
| 384 | Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery | Outcome | Details | ophthalmology-optometry |
| 385 | Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery | Outcome | Details | ophthalmology-optometry |
| 389 | Cataract Surgery: Difference Between Planned and Final Refraction | Outcome | Details | ophthalmology-optometry |
| 395 | Lung Cancer Reporting (Biopsy/Cytology Specimens) | Process | Details | pathology |
| 396 | Lung Cancer Reporting (Resection Specimens) | Process | Details | pathology |
| 397 | Melanoma Reporting | Process | Details | pathology |
| 431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Process | Details | audiology cardiology clinical-social-work emergency-medicine family-medicine gastroenterology internal-medicine mental-behavioral-health-and-psychiatry neurology nutrition-dietician obstetrics-gynecology oncology-hematology otolaryngology physical-medicine preventive-medicine pulmonology urgent-care urology |
| 441 | Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control) | Process | Details | cardiology family-medicine internal-medicine vascular-surgery |
| 443 | Non-Recommended Cervical Cancer Screening in Adolescent Females | Process | Details | family-medicine internal-medicine obstetrics-gynecology |
| 424 | Perioperative Temperature Management | Outcome | Details | anesthesiology |
| 430 | Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy | Process | Details | anesthesiology |
| 410 | Psoriasis: Clinical Response to Systemic Medications | Outcome | Details | dermatology |
| 440 | Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician | Process | Details | dermatology pathology |
| 436 | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | Process | Details | diagnostic-radiology |
| 415 | Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older | Process | Details | emergency-medicine |
| 416 | Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 through 17 Years | Process | Details | emergency-medicine |
| 439 | Age Appropriate Screening Colonoscopy | Process | Details | gastroenterology |
| 413 | Door to Puncture Time for Endovascular Stroke Treatment | Process | Details | interventional-radiology neurosurgical |
| 420 | Varicose Vein Treatment with Saphenous Ablation: Outcome Survey | Outcome | Details | interventional-radiology vascular-surgery |
| 421 | Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal | Process | Details | interventional-radiology |
| 419 | Overuse of Imaging for the Evaluation of Primary Headache | Process | Details | neurology |
| 422 | Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury | Process | Details | obstetrics-gynecology |
| 432 | Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair | Outcome | Details | obstetrics-gynecology urology |
| 433 | Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair | Outcome | Details | obstetrics-gynecology urology |
| 448 | Appropriate Workup Prior to Endometrial Ablation | Process | Details | obstetrics-gynecology |
| 445 | Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) | Outcome | Details | thoracic-surgery |
| 487 | Screening for Social Drivers of Health | Process | Details | allergy-immunology anesthesiology audiology cardiology clinical-social-work dentistry dermatology diagnostic-radiology electrophysiology-cardiac-specialist emergency-medicine endocrinology family-medicine gastroenterology general-surgery geriatrics hospitalists infectious-disease internal-medicine interventional-radiology mental-behavioral-health-and-psychiatry nephrology neurosurgical nutrition-dietician obstetrics-gynecology oncology-hematology ophthalmology-optometry orthopedic-surgery otolaryngology pathology physical-medicine physical-therapy-occupational-therapy plastic-surgery podiatry preventive-medicine pulmonology rheumatology skilled-nursing-facility speech-language-pathology thoracic-surgery urology vascular-surgery |
| 464 | Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use | Process | Details | family-medicine otolaryngology pediatrics urgent-care |
| 468 | Continuity of Pharmacotherapy for Opioid Use Disorder (OUD) | Process | Details | family-medicine internal-medicine mental-behavioral-health-and-psychiatry physical-medicine |
| 488 | Kidney Health Evaluation | Process | Details | endocrinology family-medicine geriatrics internal-medicine nephrology preventive-medicine urology |
| 463 | Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics) | Process | Details | anesthesiology |
| 477 | Multimodal Pain Management | Process | Details | anesthesiology |
| 486 | Dermatitis – Improvement in Patient-Reported Itch Severity | Outcome | Details | dermatology |
| 485 | Psoriasis – Improvement in Patient-Reported Itch Severity | Outcome | Details | dermatology |
| 489 | Adult Kidney Disease: Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy | Process | Details | geriatrics nephrology |
| 465 | Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries | Process | Details | interventional-radiology |
| 459 | Back Pain After Lumbar Surgery | Outcome | Details | neurosurgical orthopedic-surgery |
| 471 | Functional Status After Lumbar Surgery | Outcome | Details | neurosurgical orthopedic-surgery |
| 450 | Appropriate Treatment for Patients with Stage I (T1c) – III HER2 Positive Breast Cancer | Process | Details | oncology-hematology |
| 451 | RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy | Process | Details | oncology-hematology |
| 452 | Patients with Metastatic Colorectal Cancer and RAS (KRAS or NRAS) Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies | Process | Details | oncology-hematology |
| 453 | Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score – better) | Process | Details | oncology-hematology urology |
| 457 | Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (lower score – better) | Outcome | Details | oncology-hematology urology |
| 461 | Leg Pain After Lumbar Surgery | Outcome | Details | orthopedic-surgery |
| 470 | Functional Status After Primary Total Knee Replacement | Outcome | Details | orthopedic-surgery |
| 478 | Functional Status Change for Patients with Neck Impairments | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 493 | Adult Immunization Status | Process | Details | allergy-immunology cardiology endocrinology family-medicine geriatrics infectious-disease internal-medicine nephrology obstetrics-gynecology otolaryngology preventive-medicine pulmonology rheumatology skilled-nursing-facility |
| 490 | Appropriate Intervention of Immune-Related Diarrhea and/or Colitis in Patients Treated with Immune Checkpoint Inhibitors | Process | Details | oncology-hematology |
| 491 | Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma | Process | Details | pathology |
| 024 | Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older | Process | Details | family-medicine internal-medicine orthopedic-surgery preventive-medicine rheumatology |
| 222 | Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma | Outcome | Details | orthopedic-surgery physical-therapy-occupational-therapy |
| 391 | Follow-up After Hospitalization for Mental Illness (FUH) | Process | Details | internal-medicine mental-behavioral-health-and-psychiatry pediatrics |
| 418 | Osteoporosis Management in Women Who Had a Fracture | Outcome | Details | endocrinology family-medicine internal-medicine obstetrics-gynecology orthopedic-surgery |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | Process | Details | cardiology endocrinology family-medicine internal-medicine preventive-medicine |
| 483 | Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM) | Process | Details | family-medicine internal-medicine |