Thank you for your inquiry regarding CMS131v14 (2026 Performance Period). The eCQM measures are designed to use clinical data from structured fields in the EHR, rather than billing or claims data. Please note that the codes LA34398-0 and LA34399-8 are included in the valueset "Autonomous Eye Exam Result or Finding" (2.16.840.1.113883.3.464.1004.2616). In addition to meeting numerator criteria for an autonomous eye exam in the measurement period, a physical exam must be performed during the measurement period using LOINC Code (105914-6). Clinically equivalent services can be mapped to the measure's value set or codes. If mapping is done, please maintain documentation in case of a 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. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs

Client is using portable retinal screening device in clinic for Retinal eye exams and using the billing code 92227 (NOT INCLUDED IN VALUE SET). The client does not indicate a negative or positive screening result FOR THE EXAM AND DOES NOT RECEIVE CREDIT FOR THE RETINAL SCREENING.