Thank you for your inquiry about CMS117v13 (performance period 2025). Self-reported services may be acceptable given that they are performed within the required timeframe, documented using a code from the appropriate value set, and documented in a structured field in the EHR, approved for entry by a physician for the management of care. We do not provide prescriptive mapping guidance on the value sets. If these value sets are not supported by your EHR, you may map to clinically equivalent codes. Please maintain documentation for any CMS audit. If you have questions about reading the measure specification or understanding data requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. You may find this resource on the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs .