Measure Overview
Use in CMS Programs
- 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.
Measure Specification
Patients who develop postoperative renal failure or require dialysis.
N/A
N/A
All patients undergoing isolated CABG surgery.
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.
N/A
Measure Information
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
Measure Performance in Program
Measure Score by Performance Year
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.
Meaningfulness
Importance
The Meaningfulness criterion will be evaluated as part of the full Preliminary Assessment available in September.
Data Stream Burden Reduction
Data Stream Burden Reduction
This criterion will be evaluated as part of the full Preliminary Assessment available in September.
Alignment with the Patient Health Care Journey
Alignment with the Patient Health Care Journey
This criterion will be evaluated as part of the full Preliminary Assessment available in September.
Public Comment
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