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
7786
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CBSA Code 14
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CBSA Code 14 effective date: September 27, 2019 payable: to be billed as 99914
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590
7900
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Advanced Practice Nurse (APN)
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Advanced Practice Nurse (APN) accreditation required: contracted with the Health Plan accreditation required: enrolled with the Department accreditation required: holds a valid license in Illinois accreditation required: legally authorized under statute or rule to provide services accreditation required: licensed as an APN accreditation required: licensed as an APN, holds a valid license in Illinois, is legally authorized under statute or rule to provide services, and is enrolled with the Department and contracted with the Health Plan who may perform: A Provider of medical and preventive services who may perform: A Provider of medical and preventive services, including Certified Nurse Midwives, Certified Family Nurse Practitioners and Certified Pediatric Nurse Practitioners who may perform: Certified Family Nurse Practitioners who may perform: Certified Nurse Midwives who may perform: Certified Pediatric Nurse Practitioners591
7920
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Emergency Services
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Emergency Services who may perform: Non-Affiliated Provider
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592
7922
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Post Stabilization Services
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Post Stabilization Services who may perform: Non-Affiliated Provider
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593
7943
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interpreter services
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interpreter services who may perform: Enrollee services representatives who may perform: language line telephonic interpreter service594
7956
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Affiliated Provider
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Affiliated Provider who may perform: A Provider associated as an employee or by other legally recognizable means with a Health Plan595
7958
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Care Coordinator
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Care Coordinator who may perform: An employee of the Health Plan
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596
7980
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96113
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96113 criteria: maximum billable quantity of 6 units for 96113 disposition: payable-with-criteria medicaid-il code-disposition criteria: maximum billable quantity of 6 units for 96113 medicaid-il code-disposition effective-date: December 16, 2025597
7982
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99173
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99173 accreditation required: Certification by the Illinois Department of Public Health (DPH) for vision and hearing assessments should be completed. criteria: Billed with a unit of 1 for each assessment with a maximum billable quantity of 1 unit each for 99173 criteria: maximum billable quantity of 1 unit each for 99173 disposition: payable disposition: payable-with-criteria medicaid-il code-disposition criteria: maximum billable quantity of 1 unit each for 99173 medicaid-il code-disposition effective-date: December 16, 2025 medicaid-md code-disposition disposition: payable-with-criteria who may perform: Non-physician personnel administering vision, hearing, or developmental assessments to preschool and school age children must be appropriately trained to provide the assessment.598
7985
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92551
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92551 accreditation EXCLUDED: DPH certification accreditation required: Certification by the Illinois Department of Public Health (DPH) for vision and hearing assessments should be completed. disposition: payable disposition: payable-with-criteria medicaid-il code-disposition effective-date: December 16, 2025 medicaid-md code-disposition disposition: payable-with-criteria who may perform: Non-physician personnel administering vision, hearing, or developmental assessments to preschool and school age children must be appropriately trained to provide the assessment.599

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