Thank you for your inquiry regarding CMS137v13 (2025 Performance Period). Numerator 1 requires initiation of treatment, either an intervention or medication for the treatment of SUD within 14 days of a SUD episode. There are multiple pathways to meet Numerator 1 including psychosocial visit. For example, a psychosocial visit can be defined as an encounter with a diagnosis code using the codes in the value sets "Virtual Encounter" (2.16.840.1.113883.3.464.1003.101.12.1089) and "Substance Use Disorder" (2.16.840.1.113883.3.464.1003.106.12.1001). This information must be present in the EHR. This requirement is expressed in the CQL below. Please refer to the measure specification to review the measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS137v13.html . 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 . Psychosocial Visit ["Intervention, Performed": "Substance Use Disorder Treatment"] union ["Intervention, Performed": "Psych Visit Psychotherapy"] union ( ( ["Encounter, Performed": "Telephone Visits"] union ["Encounter, Performed": "Virtual Encounter"] ) TelehealthEncounter where exists TelehealthEncounter.diagnoses Diagnosis where Diagnosis.code in "Substance Use Disorder" )