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
5992
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99384 EP
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99384 EP criteria: No other E&M service can be billed for the same DOS
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440
5994
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99385 EP
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99385 EP criteria: No other service can be billed for the same DOS
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441
5996
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99391 EP
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99391 EP criteria: No other E&M service can be billed for the same date of service.
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442
6000
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99232
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99232 code-disposition: payable-with-criteria criteria: Initial or periodic EPSDT exam for infant/child/youth performed during an inpatient acute hospital stay. At the time of evaluation, the infant, child, or youth may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. criteria: No other E&M service can be billed for the same date of service. disposition: payable-with-criteria medicaid-hi code-disposition code-disposition: payable-with-criteria medicaid-hi code-disposition criteria: Initial or periodic EPSDT exam for infant/child/youth performed during an inpatient acute hospital stay. At the time of evaluation, the infant, child, or youth may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. medicaid-hi code-disposition criteria: No other E&M service can be billed for the same date of service. medicaid-hi code-disposition disposition: payable-with-criteria443
6003
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99308
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99308 code-disposition: payable-with-criteria criteria: Initial or periodic EPSDT exam for infant/child/youth performed during a nursing facility stay. At the time of evaluation, the infant, child, or youth may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. criteria: No other E&M service can be billed for the same date of service. disposition: payable-with-criteria medicaid-hi code-disposition code-disposition: payable-with-criteria medicaid-hi code-disposition criteria: Initial or periodic EPSDT exam for infant/child/youth performed during a nursing facility stay. At the time of evaluation, the infant, child, or youth may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. medicaid-hi code-disposition criteria: No other E&M service can be billed for the same date of service. medicaid-hi code-disposition disposition: payable-with-criteria444
6006
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99348
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99348 code-disposition: payable-with-criteria criteria: Initial or periodic EPSDT exam for infant/child/youth performed in the child's home. At the time of evaluation, the infant, child, or youth may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. The child must be homebound or bedbound for medically appropriate reasons and the physician must be able to provide all age appropriate screening and surveillance in the home setting. criteria: No other E&M service can be billed for the same date of service. criteria: The child must be homebound or bedbound for medically appropriate reasons and the physician must be able to provide all age appropriate screening and surveillance in the home setting. disposition: payable-with-criteria medicaid-hi code-disposition code-disposition: payable-with-criteria medicaid-hi code-disposition criteria: Initial or periodic EPSDT exam for infant/child/youth performed in the child's home. At the time of evaluation, the infant, child, or youth may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. The child must be homebound or bedbound for medically appropriate reasons and the physician must be able to provide all age appropriate screening and surveillance in the home setting. medicaid-hi code-disposition criteria: No other E&M service can be billed for the same date of service. medicaid-hi code-disposition criteria: The child must be homebound or bedbound for medically appropriate reasons and the physician must be able to provide all age appropriate screening and surveillance in the home setting. medicaid-hi code-disposition disposition: payable-with-criteria medicaid-hi furnishing-rule who may perform: physician who may perform: physician445
6010
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99460
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99460 code-disposition: payable-with-criteria criteria: Initial EPSDT exam of a normal infant one more or less of age in the hospital or birthing room. At the time of evaluation, the infant may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. criteria: No other E&M service can be billed for the same date of service. disposition: payable-with-criteria medicaid-hi code-disposition code-disposition: payable-with-criteria medicaid-hi code-disposition criteria: Initial EPSDT exam of a normal infant one more or less of age in the hospital or birthing room. At the time of evaluation, the infant may be well, have an acute illness, or be a CSHCN. No other E&M service can be billed for the same date of service. medicaid-hi code-disposition criteria: No other E&M service can be billed for the same date of service. medicaid-hi code-disposition disposition: payable-with-criteria446
6013
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99461
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99461 code-disposition: payable-with-criteria criteria: No other E&M service can be billed for the same date of service. medicaid-hi code-disposition code-disposition: payable-with-criteria medicaid-hi code-disposition criteria: No other E&M service can be billed for the same date of service.447
6019
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99201-99255
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99201-99255 disposition: integral-to-other-service
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448
6021
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99304-99499
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99304-99499 disposition: integral-to-other-service
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449

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