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
7095 Filter to this value Explore graph node	Cast Crowns Filter to this value	Cast Crowns payable-with-criteria: true prior-authorization-required: true Filter to this value	570
7228 Filter to this value Explore graph node	Advanced Practice Nurse services in conjunction with a hospital APL outpatient procedure Filter to this value	Advanced Practice Nurse services in conjunction with a hospital APL outpatient procedure effective date: September 23, 2020 not-reimbursable: true	571
7303 Filter to this value Explore graph node	Mental Health Case Management services Filter to this value	Mental Health Case Management services who may perform: staff as approved by HFS Filter to this value	572
7403 Filter to this value Explore graph node	H0034 Filter to this value	H0034 medicaid-il code-disposition disposition: payable-with-criteria medicaid-il furnishing-rule accreditation required: valid license in the state of practice and are legally authorized under state law to prescribe medication pursuant to the Illinois Nurse Practice Act or the Medical Practice Act of 1987 payable-with-criteria: Medical Necessity for this service is established by an IATP completed within the last 180 days, reviewed and signed by an LPHA, identifying a clinical need for services and a treatment recommendation of Medication Monitoring performed as an adjunct to a medication prescribed related to either the individual's behavioral health condition, or the individual's general health and wellbeing, but the medication or condition has a direct impact on the individual's behavioral health condition creating a complex medical condition.	573
7511 Filter to this value Explore graph node	S5190 Filter to this value	S5190 disposition: not-stated disposition: payable-with-criteria effective date: prior to October 1, 2016 medicaid-il code-disposition disposition: payable-with-criteria medicaid-il code-disposition effective-date: prior to October 1, 2016	574
7519 Filter to this value Explore graph node	Group psychotherapy services Filter to this value	Group psychotherapy services accreditation required: approved general psychiatry residency program accreditation required: approved or accredited residency program accreditation required: current certification in Psychiatric and Mental Health Nursing who may perform: Advanced Practice Nurse (APN) holding a current certification in Psychiatric and Mental Health Nursing. who may perform: Licensed Clinical Professional Counselor (LCPC). who may perform: Licensed Clinical Psychologist (LCP). who may perform: Licensed Clinical Social Worker (LCSW). who may perform: Licensed Marriage and Family Therapist (LMFT). who may perform: Physician licensed to practice medicine in all its branches who has completed an approved general psychiatry residency program or is providing the service as a resident or attending physician at an approved or accredited residency program.	575
7623 Filter to this value Explore graph node	202.1.1 Filter to this value	202.1.1 supervision level: presence in the operating room, performing or supervising the major phases of the operation taking personal responsibility for the services provided, and personally performing services considered necessary to confirm the diagnosis and findings. supervision level: the teaching physician is personally responsible for all services provided and has direct contact with the patient. who may perform: Teaching physicians who provide direct patient care	576
7627 Filter to this value Explore graph node	202.1.2 Filter to this value	202.1.2 who may perform: This policy excludes billing for a salaried pathologist, radiologist, nurse practitioner or certified registered nurse anesthetist (CRNA). who may perform: one salaried physician involved in direct patient care in any outpatient setting in conjunction with an APL procedure	577
7630 Filter to this value Explore graph node	202.1.3 Filter to this value	202.1.3 supervision level: billed under the teaching physician's NPI along with the GC modifier. The teaching physician must: 1) be personally involved in the who may perform: a resident provides medical services	578
7665 Filter to this value Explore graph node	normal newborn care services Filter to this value	normal newborn care services disposition: payable Filter to this value	579

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