​​Thank you for your inquiry regarding CMS2v11: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Per the measure specification, the "Patient Declined" (2.16.840.1.113883.3.526.3.1582) and "Medical Reason" (2.16.840.1.113883.3.526.3.1007) value sets include codes that identify situations in which a patient may meet the denominator exception criteria; codes pertaining to motivational limitation can be found in the "Medical Reason" value set. You can review codes included in the value sets on the Value Set Authority Center (VSAC) website at https://vsac.nlm.nih.gov .