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 Filter to this value Explore graph node | CPT code Filter to this value | 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 Filter to this value Explore graph node | Non-enrolled providers rendering services as a distant site provider Filter to this value | 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 Department | 551 |
| 6685 Filter to this value Explore graph node | X-rays Filter to this value | X-rays
disposition: integral-to-other-service
effective date: June 16, 2021 Filter to this value | 552 |
| 6688 Filter to this value Explore graph node | EKGs Filter to this value | EKGs
disposition: integral-to-other-service
effective date: June 16, 2021 Filter to this value | 553 |
| 6780 Filter to this value Explore graph node | IATP: Psychological Assessment services Filter to this value | 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 Filter to this value Explore graph node | Crisis Intervention services Filter to this value | 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 Filter to this value Explore graph node | H2015 Filter to this value | 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 RSA | 556 |
| 6802 Filter to this value Explore graph node | T1502 Filter to this value | 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 Filter to this value Explore graph node | D1999 Filter to this value | D1999 medicaid-il furnishing-rule who may perform: Public Health Dental Hygienist who may perform: Public Health Dental Hygienist | 558 |
| 6819 Filter to this value Explore graph node | D9310 Filter to this value | 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 practitioner | 559 |