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.

Source records. NULL means missing; empty text is labelled separately.
node_id UInt32	code Utf8	text Utf8	__row_id Int64
6510 Filter to this value Explore graph node	140.459 Filter to this value	140.459 effective_date: not-stated Filter to this value	540
6512 Filter to this value Explore graph node	140.490 Filter to this value	140.490 effective_date: not-stated Filter to this value	541
6514 Filter to this value Explore graph node	140.491 Filter to this value	140.491 effective_date: not-stated Filter to this value	542
6516 Filter to this value Explore graph node	140.492 Filter to this value	140.492 effective_date: not-stated Filter to this value	543
6518 Filter to this value Explore graph node	140.493 Filter to this value	140.493 effective_date: not-stated Filter to this value	544
6520 Filter to this value Explore graph node	140.494 Filter to this value	140.494 effective_date: not-stated Filter to this value	545
6596 Filter to this value Explore graph node	220.5.3 Filter to this value	220.5.3 not-reimbursable: A repeat consultation within a six-month period is not allowed for the same diagnosis or condition.	546
6598 Filter to this value Explore graph node	220.5.5 Filter to this value	220.5.5 not-reimbursable: A charge submitted by the operating surgeon for a visit performed solely for the purpose of completing the preoperative history and physical is not reimbursed separately. payable-with-criteria: A consultation by the operating surgeon within a day before surgery is payable under two conditions: • The procedure was performed for a traumatic event. A traumatic event is defined as an emergency admission, complications of an emergency nature, or traumatic conditions such as acute appendicitis or fractured hip, or • The consultation was not performed solely for the purpose of completing the preoperative history and physical, and the evaluation and management code was submitted with the appropriate “decision for surgery” modifier.	547
6655 Filter to this value Explore graph node	CPT or HCPCS code with modifier UD Filter to this value	CPT or HCPCS code with modifier UD effective date: June 16, 2021 payable-with-criteria: Providers must identify 340B purchased drugs by reporting modifier “UD” in conjunction with the appropriate drug Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) code.	548
6671 Filter to this value Explore graph node	Q3014 Filter to this value	Q3014 disposition: not-stated disposition: payable disposition: payable-with-criteria medicaid-il code-disposition criteria: Providers eligible to receive a facility fee are physician's office, podiatrist's office, local health departments, Community Mental Health Centers and outpatient hospitals. medicaid-il code-disposition criteria: The independent offices of a licensed clinical psychologist (LCP) or a licensed clinical social worker (LCSW) medicaid-il code-disposition disposition: not-reimbursable medicaid-il code-disposition disposition: payable-with-criteria medicaid-il code-disposition exclusion: The independent offices of a licensed clinical psychologist (LCP) or a licensed clinical social worker (LCSW) are not eligible to receive a facility fee as an Originating Site. medicaid-il code-disposition payable-with-criteria: Originating site providers may submit claims for a facility fee for each telehealth service encounter using HCPCS Code Q3014/Telehealth Originating Site Facility Fee. Providers eligible to receive a facility fee are physician's office, podiatrist's office, local health departments, Community Mental Health Centers and outpatient hospitals. When the originating site is an encounter rate clinic, the maximum reimbursement will be the facility's encounter rate. The independent offices of a licensed clinical psychologist (LCP) or a licensed clinical social worker (LCSW) are not eligible to receive a facility fee as an Originating Site. medicaid-nm code-disposition criteria: when a Telapresentor is present at an originating site location other than the individuals home medicaid-nm code-disposition criteria: when a Telapresentor is present at an originating site location other than the individuals home. medicaid-nm code-disposition disposition: payable medicaid-nm code-disposition disposition: payable-with-criteria medicaid-sd code-disposition criteria: For OT, PT, SLP, and psychology telehealth services only. medicaid-sd code-disposition disposition: payable-with-criteria medicaid-sd code-disposition effective-date: not-stated not-reimbursable: The independent offices of a licensed clinical psychologist (LCP) or a licensed clinical social worker (LCSW) are not eligible to receive a facility fee as an Originating Site. payable-with-criteria: Medical nutrition therapy services are covered for recipients diagnosed with diabetes, obesity, heart disease and hypertension. Services must be rendered according to the written orders of the Physician, PA or APRN as part of an individualized treatment plan. payable-with-criteria: Originating site providers may submit claims for a facility fee for each telehealth service encounter using HCPCS Code Q3014 payable-with-criteria: Originating site providers may submit claims for a facility fee for each telehealth service encounter using HCPCS Code Q3014/Telehealth Originating Site Facility Fee. Providers eligible to receive a facility fee are physician's office, podiatrist's office, local health departments, Community Mental Health Centers and outpatient hospitals. When the originating site is an encounter rate clinic, the maximum reimbursement will be the facility's encounter rate. The independent offices of a licensed clinical psychologist (LCP) or a licensed clinical social worker (LCSW) are not eligible to receive a facility fee as an Originating Site. payable-with-criteria: Providers eligible to receive a facility fee are physician's office, podiatrist's office, local health departments, Community Mental Health Centers and outpatient hospitals. payable-with-criteria: When the originating site is an encounter rate clinic, the maximum reimbursement will be the facility's encounter rate. prior-authorization-required: Prior authorization is required when the service limitation has been met and recipients require additional or repeat training sessions beyond the permitted maximum number of hours of treatment.	549

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