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
6673
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CPT code
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CPT code payable-with-criteria: The appropriate CPT code must be billed with modifier GT (via interactive audio/video telecommunication systems) and the appropriate Place of Service Code, 02, telehealth.550
6675
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Non-enrolled providers rendering services as a distant site provider
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Non-enrolled providers rendering services as a distant site provider not-reimbursable: Non-enrolled providers rendering services as a distant site provider shall not be eligible for reimbursement from the Department551
6685
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X-rays
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X-rays disposition: integral-to-other-service effective date: June 16, 2021
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552
6688
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EKGs
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EKGs disposition: integral-to-other-service effective date: June 16, 2021
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553
6780
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IATP: Psychological Assessment services
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IATP: Psychological Assessment services accreditation required: Clinical Psychologist Licensing Act [225 ILCS 15]. who may perform: staff qualified to do so pursuant to the Clinical Psychologist Licensing Act [225 ILCS 15].554
6789
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Crisis Intervention services
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Crisis Intervention services supervision level: If services are delivered by an MHP, the MHP must have immediate, direct access to a QMHP. who may perform: staff who minimally meet the qualifications of an MHP.555
6797
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H2015
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H2015 accreditation required: Specialty of 'Residential Services' on their IMPACT enrollment disposition: payable-with-criteria medicaid-il code-disposition disposition: payable-with-criteria medicaid-il furnishing-rule accreditation required: Specialty of 'Residential Services' on their IMPACT enrollment medicaid-il furnishing-rule who may perform: CMHCs (Provider Type 036) or BHCs (Provider Type 027) medicaid-il furnishing-rule who may perform: staff who minimally meet the qualifications of an RSA who may perform: CMHCs (Provider Type 036) or BHCs (Provider Type 027) who may perform: staff who minimally meet the qualifications of an RSA556
6802
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T1502
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T1502 disposition: not-stated effective date: not-stated medicaid-il code-disposition disposition: payable-with-criteria medicaid-il furnishing-rule who may perform: CMHCs (Provider Type 036) or BHCs (Provider Type 027) who may perform: CMHCs (Provider Type 036) or BHCs (Provider Type 027)557
6805
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D1999
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D1999 medicaid-il furnishing-rule who may perform: Public Health Dental Hygienist who may perform: Public Health Dental Hygienist558
6819
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D9310
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D9310 effective date: April 28, 2025 medicaid-il code-disposition criteria: should only be reimbursed to a dentist other than the one providing definitive treatment. A consultation includes an examination and evaluation of the patient, and a written report from the consultant to the treating dentist. When billing for a consultation, a copy of the written report must be attached. When the consulting dentist also performs services, reimbursement to that dentist will be limited to the actual services performed. There will not be a separate reimbursement medicaid-il code-disposition criteria: to a dentist other than the one providing definitive treatment medicaid-il code-disposition disposition: payable medicaid-il code-disposition disposition: payable-with-criteria medicaid-il code-disposition effective date: April 28, 2025 medicaid-il code-disposition effective-date: August 23, 2024 medicaid-il code-disposition effective_date: not-stated medicaid-il code-disposition payable-with-criteria: A consultation (D9310) should only be reimbursed to a dentist other than the one medicaid-il code-disposition payable-with-criteria: should only be reimbursed to a dentist other than the one payable-with-criteria: A consultation (D9310) should only be reimbursed to a dentist other than the one payable-with-criteria: A consultation (D9310) should only be reimbursed to a dentist other than the one providing definitive treatment. A consultation includes an examination and evaluation of the patient, and a written report from the consultant to the treating dentist. When billing for a consultation, a copy of the written report must be attached. When the consulting dentist also performs services, reimbursement to that dentist will be limited to the actual services performed. There will not be a separate reimbursement payable-with-criteria: should only be reimbursed to a dentist other than the one who may interpret: a practitioner other than the original practitioner who may perform: a dentist other than the one providing definitive treatment who may perform: a practitioner other than the original practitioner559

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Evidence receipt r11831

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