Clarification of CMS 138_2 mapping values: If a patient has multiple visits within a year, would the smoking status documented during the in-person office visits with the eligible clinician be the only criteria that would be used to determine if the measure would be MET or UNMET for the reporting period? PATIENT EXAMPLE: A patient has 2 office visits in 2024. For both office visits in 2024, the smoking status was documented as NEVER. After the 2 office visits, the patient came in for a PET Scan Procedure and the smoking status was documented as CURRENT during the encounter Which value should be used to determine if the measure is MET or UNMET? • Should both office visits and testing procedure encounters be included in mapping for the measurement period? • To review, ALL OFFICE VISITS were documented as NEVER. Should mapping be to the a) in-person office visit OR the b) testing procedure encounter? It is our understanding that testing procedures are NOT included for the MIPS quality measures as procedures do NOT trigger Quality Measures. Please escalate to a physician at CMS.