knowledge/lexical/codes

Source: knowledge/lexical/codes.parquet. Source vintage: Package vintage 2026-10-01; source path partition not dated; inspect record and rule clocks separately. Grain: Packaged source record; inspect schema and linked world method before aggregation. Snapshot: 7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba.

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99395
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99395 code-disposition: payable-with-criteria criteria: No other E&M service can be billed same DOS. criteria: Periodic EPSDT exam for a well child, a child with an acute illness, or a CSHCN; age 18 through 20. No other E&M service can be billed same DOS. criteria: cannot bill for a problem-oriented and preventive visit for the same participant, on the same day. criteria: if the appropriate evaluation and management code and EP modifier are submitted disposition: payable disposition: payable-with-criteria highmark code-disposition criteria: if the appropriate evaluation and management code and EP modifier are submitted highmark code-disposition disposition: payable-with-criteria medicaid-hi code-disposition code-disposition: payable-with-criteria medicaid-hi code-disposition criteria: No other E&M service can be billed same DOS. medicaid-hi code-disposition criteria: Periodic EPSDT exam for a well child, a child with an acute illness, or a CSHCN; age 18 through 20. No other E&M service can be billed same DOS. medicaid-hi code-disposition disposition: payable-with-criteria medicaid-md code-disposition disposition: payable-with-criteria276

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