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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| node_id UInt32 | code Utf8 | text Utf8 | __row_id Int64 |
|---|---|---|---|
| 5124 Filter to this value Explore graph node | 99499 Filter to this value | 99499 criteria: Allowed two times in a 12-month period, per provider. criteria: Billable with any ZOO diagnosis code criteria: HCA will pay for one encounter, per client, per day unless the periodic evaluation is performed by a provider of a different specialty or there is an unrelated diagnosis. criteria: The medicaid agency pays for one encounter, per client, per day, except in the following circumstances: (a) The visits occur with different health care professionals with different specialties; or (b) There are separate visits with unrelated diagnoses. criteria: When CPT® codes 99429 and 99499 are billed to the client's MCO, the codes must be billed according to existing FQHC and RHC policy regarding two encounters in one day. disposition: payable-with-criteria effective date: not-stated medicaid-ar code-disposition payable-with-criteria: This code is not to be used in conjunction with any other E&M or encounter code that may be billed by the provider but only be used to reflect a screening for COVID-19 (i.e., completing a questionnaire and taking temperature). medicaid-ar code-disposition payable: The rate is $25.00 for each screening. medicaid-ar furnishing-rule who may perform: APRNS (PT 58) medicaid-ar furnishing-rule who may perform: Federally Qualified Health Centers (PT 49) medicaid-ar furnishing-rule who may perform: Hospitals (PT 05) medicaid-ar furnishing-rule who may perform: Physicians (PT 01 & 03) medicaid-ar furnishing-rule who may perform: Rural Health Clinics (PT 29) medicaid-wa code-disposition criteria: (1) The medicaid agency pays for one encounter, per client, per day, except in the following circumstances: (a) The visits occur with different health care professionals with different specialties; or (b) There are separate visits with unrelated diagnoses. medicaid-wa code-disposition criteria: HCA will pay for one encounter, per client, per day unless the oral screening is performed by a provider of a different specialty or there is an unrelated diagnosis. medicaid-wa code-disposition criteria: HCA will pay for one encounter, per client, per day unless the periodic evaluation is performed by a provider of a different specialty or there is an unrelated diagnosis. medicaid-wa code-disposition criteria: Oral screening allowed two times in a 12-month period, per provider. medicaid-wa code-disposition criteria: The medicaid agency pays for one encounter, per client, per day, except in the following circumstances: (a) The visits occur with different health care professionals with different specialties; or (b) There are separate visits with unrelated diagnoses. medicaid-wa code-disposition criteria: When CPT® codes 99429 and 99499 are billed to the client's MCO, the codes must be billed according to existing FQHC and RHC policy regarding two encounters in one day. medicaid-wa code-disposition criteria: allowed two times in a 12-month period, per provider medicaid-wa code-disposition criteria: one encounter, per client, per day unless the oral screening is performed by a provider of a different specialty or there is an unrelated diagnosis medicaid-wa code-disposition criteria: twice in a 12-month period. medicaid-wa code-disposition criteria: with any Z00 diagnosis code medicaid-wa code-disposition disposition: payable-with-criteria payable-with-criteria: Billable DA with any Z00 diagnosis code payable-with-criteria: HCA will pay for one encounter, per client, per day unless the oral screening is performed by a provider of a different specialty or there is an unrelated diagnosis. payable-with-criteria: Oral screening allowed two times in a 12-month period, per provider. payable-with-criteria: The medicaid agency pays for one encounter, per client, per day, except in the following circumstances: (a) The visits occur with different health care professionals with different specialties; or (b) There are separate visits with unrelated diagnoses. payable-with-criteria: This code is not to be used in conjunction with any other E&M or encounter code that may be billed by the provider but only be used to reflect a screening for COVID-19 (i.e., completing a questionnaire and taking temperature). payable-with-criteria: twice in a 12-month period. payable: The rate is $25.00 for each screening. who may perform: APRNS (PT 58) who may perform: Federally Qualified Health Centers (PT 49) who may perform: Hospitals (PT 05) who may perform: Physicians (PT 01 & 03) who may perform: Rural Health Clinics (PT 29) | 338 |