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Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure

CMS Measures Inventory Tool (CMIT) ID
00172-01-C-MIPS
Steward Organization Group
Society of Thoracic Surgeons
Committee
MSR Recommendation Group
    Measure Overview
      Use in CMS Programs
      CMS Program History
      • Finalized through rulemaking for inclusion in the Merit-based Incentive Payment System (MIPS) in 2016.
      • Implemented in MIPS starting with Performance Year (PY) 2017.
      Description

      Percentage of patients aged 18 years and older undergoing isolated coronary artery bypass graft (CABG) surgery (without pre-existing renal failure) who develop postoperative renal failure or require dialysis.

      Numerator

      Patients who develop postoperative renal failure or require dialysis.

      Numerator Exclusions

      N/A

      Numerator Exceptions

      N/A

      Denominator

      All patients undergoing isolated CABG surgery.

      Denominator Exclusions

      Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dL; renal transplant recipients are not considered to have preoperative renal failure, unless, since transplantation the Cr has been or is 4.0 or higher.

      Denominator Exceptions

      N/A

      Cascade of Meaningful Measures Priority
      Measure Type
      Outcome
      Level of Analysis
      Clinician: Group/Practice
      Clinician: Individual
      Care Setting
      Hospital: Inpatient Acute Care Facility
      Types of Data Sources
      Digital-Clinical Registries
      Non-Digital-Paper Medical Records
      Claims Data
      CBE Endorsement Status
      Endorsement Removed
      CBE Endorsement History
      • This measure was initially endorsed in 2007
      • The measure retained endorsement during maintenance in 2019
      • Endorsement was removed in 2025

      Link to endorsement measure record: Risk-Adjusted Postoperative Renal Failure

        About this Analysis (Measure Score by PY)

        Impact Summary: This measure supports the Merit‑based Incentive Payment System (MIPS) by assessing the occurrence of postoperative renal failure or dialysis among patients undergoing isolated coronary artery bypass graft surgery, an outcome associated with serious postoperative complications and patient safety. 

        Due to low reporting on this measure, no benchmark data are currently available in the publicly reported MIPS Quality Benchmarks files reviewed for this assessment. As a result, Battelle cannot evaluate performance trends and the potential impact of improvement on patient outcomes at this time. The absence of benchmark data limits the ability to assess the importance or impact of this measure within MIPS. This measure is in the Surgical MIPS Value Pathway (MVP), which should encourage greater adoption and reporting in the future.

        For this measure, Battelle reviewed the following publicly available datasets at Benchmarks - QPP:

        • 2026 MIPS Quality Benchmarks.csv 
        • 2025 MIPS Quality Benchmarks.csv 
        • 2024 MIPS Quality Benchmarks.csv 
        • 2023 MIPS Quality Benchmarks.csv 

           

        There are no benchmark values for “Measure_ID”=167 in these files, and therefore no data are available to assess this measure. For these years, there has been an insufficient volume of data submitted to establish a performance period benchmark.

          Importance Criterion Definition

          The Meaningfulness criterion will be evaluated as part of the full Preliminary Assessment available in September.  

            Criterion Definition

            This criterion will be evaluated as part of the full Preliminary Assessment available in September.  

              Criterion Definition

              This criterion will be evaluated as part of the full Preliminary Assessment available in September.  

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