MIPS #236 Controlling High Blood Pressure

2026 measure specification review pending.

Practice Insights coding changes completed for 2025


MEASURE DESCRIPTION

Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period

Numerator

 Patients whose most recent blood pressure is adequately controlled (systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during the measurement period

 Denominator

Patients 18-85 years of age by the end of the measurement period who had a visit and diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period

Exclusions/Exceptions
  • Patients with evidence of end-stage renal disease (ESRD), dialysis, or renal transplant before or during the measurement period.

  • Patients with a diagnosis of pregnancy during the measurement period.

  • Patients 66 and older by the end of the measurement period who are living long-term in a nursing home any time on or before the end of the measurement period.

  • Patients 66-80 by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:

    • Advanced illness with two outpatient encounters during the measurement period or the year prior

    • OR advanced illness with one inpatient encounter during the measurement period or the year prior

    • OR taking dementia medications during the measurement period or the year prior

  • Patients 81 and older by the end of the measurement period with an indication of frailty for any part of the measurement period.

  • Patients receiving hospice or palliative care for any part of the measurement period.



Scoring Up to10 points.

RESOURCES

2025 eCQM Measure Specifications link

 

2025 eCQM Controlling High Blood Pressure 12.0.000.html
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