knowledge/lexical/codes

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code
Utf8
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13124
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0947
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0947 criteria: Have tracheostomy care with suctioning and room air mist or oxygen as needed, and one of the four treatment procedures listed below: o Total parenteral nutrition o Inpatient physical, occupational, and/or speech therapy o Tube feeding (nasogastric or gastrostomy) o Inhalation therapy treatments every shift and a minimum of four times per 24-hour period criteria: Long-term and skilled nursing facilities in New Mexico that provide Ventilator Services that meet the clinical criteria criteria: Providers must be specially trained and competent in respiratory and vent care. criteria: The claim must also reflect an ICD-10 diagnosis code of Z99.11-Dependence on respirator (ventilator) status. criteria: The recipient's diagnosis must be consistent with ICD diagnosis codes for ventilator dependency; criteria: The skilled nursing facility must be approved for ventilator care; disposition: payable-with-criteria effective date: March 14, 2022863

Evidence receipt r16451

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