The following measures are currently available in the IR registry. Five of these six measures are also QCDR measures, defined specifically for the registry and approved by CMS, for reporting in the MIPS program. Please see the detailed specifications for further information.

QCDR ID
Measure Title
Measure Description
N/A
CVC History: Mitigating risk factors for difficult central venous access procedures: Review of history of central venous access procedures
Percentage of central venous access procedures performed before which the patient’s history of central venous access was reviewed AND non-dedicated imaging if available, was reviewed, with documentation in the medical record.
ACRad 26
Appropriate venous access for hemodialysis
Percentage of patients undergoing tunneled (longterm) catheter access for hemodialysis via subclavian access as compared to internal jugular access
ACRad 27
Uterine artery embolization technique: Documentation of angiographic endpoints and interrogation of ovarian arteries
Documentation of angiographic endpoints of embolization AND the documentation of embolization strategies in the presence of unilateral or bilateral absent uterine arteries.
ACRad 28
Rate of early peristomal infection following fluoroscopically guided gastrostomy tube placement
Percentage of patients with peristomal gastrostomy infection no more than 14 days following initial tube placement


ACRad 29
Rate of percutaneous nephrostomy tube replacement within 30 days secondary to dislodgement
Number of percutaneous nephrostomy tubes requiring replacement of a percutaneous nephrostomy tube secondary to dislodgement within 30 days of initial placement
ACRad 30
Rate of Inadequate Percutaneous Image-Guided Biopsy
The percentage of percutaneous imageguided (US, CT, fluoro) biopsy procedures performed in which sampling was inadequate for diagnosis on the final pathology report



Additionally, there are 15 IR-specific MIPS measures available, defined by CMS. The IR Registry MIPS Measures document lists each measure, along with links to detailed descriptions, including numerator and denominator criteria and CPT codes.