MIPS # 144 Plan of Care for Pain
2026 measure specification review pending.
MEASURE DESCRIPTION
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain.
Numerator
THERE ARE TWO CRITERIA COMBINED FOR THIS MEASURE:
Patient visits that included a documented plan of care to address pain OR
All visits for patients, regardless of age, with a diagnosis of cancer currently receiving radiation therapy who report having
pain.
Positive pain is considered a pain score higher than 0.
Denominator
THERE ARE TWO CRITERIA COMBINED FOR THIS MEASURE:
All visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy who report having pain OR
All visits for patients, regardless of age, with a diagnosis of cancer currently receiving radiation therapy who report having pain
Exclusions/Exceptions
None
Telehealth? Yes, for chemotherapy patients, no for radiation patients.
Scoring:
2025: 7-point cap.
2026: Up to 10 points.
RESOURCES
