MIPS #143 Pain Intensity Quantified

Practice Insights coding changes completed for 2025

MEASURE DESCRIPTION

Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified.

 Numerator

  • Numerator 1:   Patient visits in which pain intensity is quantified

  • Numerator 2:  Patient visits in which pain intensity is quantified

Numerator Instructions:  Pain intensity should be quantified using a standard instrument, such as a 0-10 numerical rating scale, visual analog scale, a categorical scale, or pictorial scale.

 Denominator

  • Denominator 1: All EM visits with cancer diagnosis receiving at least 2 chemotherapy admins on or within 30 days prior or 30 day after EM visit

  • Denominator 2:  All radiation treatment visits (77427, 77431, 77432, 77435) visits with cancer diagnosis receiving radiation therapy

*Note: Practice Insights collects data for the eCQM version of MIPS 143, this means both oral and IV chemotherapy patients are included in the denominator. This is different from the CQM version; note that EOM4a is the CQM version.

 Denominator Exclusion: None

 Numerator Exclusion: None

 Scoring: 1-10 points

Telehealth included? Yes, for chemotherapy patients, no for radiation therapy patients.

Patients undergoing hormone only treatment are not included in the denominator.

RESOURCES

2025 eCQM Measure Specifications

2025 eCQM Oncology_ Pain Intensity Quantified 12.0.000.html
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Pain Intensity Quantified.pdf
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