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 |
|---|---|---|---|
| 7987 Filter to this value Explore graph node | 96112 Filter to this value | 96112 accreditation required: Certification by the Illinois Department of Public Health (DPH) for vision and hearing assessments should be completed. criteria: approved for reimbursement by HFS criteria: meet the reimbursement approval criteria disposition: payable-with-criteria medicaid-il code-disposition effective-date: December 16, 2025 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. | 600 |
| 7989 Filter to this value Explore graph node | 96110 Filter to this value | 96110 accreditation required: Certification by the Illinois Department of Public Health (DPH) for vision and hearing assessments should be completed. criteria: and EP modifier when conducting a general developmental or an Autism Spectrum Disorder screen criteria: maximum billable quantity of 8 units for 96110 criteria: use CPT Code 96110 and EP modifier when conducting a general developmental or an ASD screen criteria: when conducting a general developmental or an Autism Spectrum Disorder screen criteria: with an approved or recommended standardized, validated general developmental screening tool disposition: not-stated disposition: payable-with-criteria medicaid-il code-disposition criteria: maximum billable quantity of 8 units for 96110 medicaid-il code-disposition effective-date: December 16, 2025 medicaid-md code-disposition criteria: may bill a maximum of two units of CPT 96110 on the same date of service when a screening tool for autism or a social-emotional screening tool is administered in addition to a general developmental screening tool. A standardized, validated tool must be used. medicaid-md code-disposition disposition: payable-with-criteria medicaid-md code-disposition payable-with-criteria: Providers may bill a maximum of two units of CPT 96110 on the same date of service when a screening tool for autism or a social-emotional screening tool is administered in addition to a general developmental screening tool. medicaid-nc code-disposition criteria: when conducting a general developmental or an ASD screen medicaid-nc code-disposition disposition: not-stated medicaid-nc code-disposition disposition: payable-with-criteria payable-with-criteria: Providers may bill a maximum of two units of CPT 96110 on the same date of service when a screening tool for autism or a social-emotional screening tool is administered in addition to a general developmental screening tool. A standardized, validated tool must be used. payable-with-criteria: The health plan shall require providers to use CPT Code 96110 and EP modifier when conducting a general developmental or an ASD screen. 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. | 601 |
| 7992 Filter to this value Explore graph node | A9900 Filter to this value | A9900 criteria: Equipment costing more than $1,000 must be obtained through a durable medical equipment (DME) provider enrolled with the Department criteria: Medically necessary equipment criteria: claimed up to a total of $1,000 per day disposition: payable-with-criteria medicaid-il code-disposition disposition: payable-with-criteria | 602 |
| 8005 Filter to this value Explore graph node | T1002 Filter to this value | T1002 disposition: not-stated disposition: payable-with-criteria effective date: not-stated medicaid-sd code-disposition criteria: Nursing services are limited to services provided to treat a chronic medical illness and identified on the recipient's IEP/Care plan. medicaid-sd code-disposition effective-date: not-stated | 603 |
| 8008 Filter to this value Explore graph node | T1003 Filter to this value | T1003
disposition: not-stated
effective date: not-stated Filter to this value | 604 |
| 8025 Filter to this value Explore graph node | 90832 Modifier AH Filter to this value | 90832 Modifier AH
disposition: payable
effective date: December 16, 2025
not-stated: true Filter to this value | 605 |
| 8027 Filter to this value Explore graph node | 90853 Modifier AH Filter to this value | 90853 Modifier AH
disposition: payable
effective date: December 16, 2025
not-stated: true Filter to this value | 606 |
| 8063 Filter to this value Explore graph node | V5299 Filter to this value | V5299 who may perform: Licensed audiologist who may perform: Staff with a Master's degree in audiology and Certificate of Clinical Competence in audiology. | 607 |
| 8088 Filter to this value Explore graph node | T1502 Modifier KO Filter to this value | T1502 Modifier KO
not-stated: disposition not stated Filter to this value | 608 |
| 8091 Filter to this value Explore graph node | orientation and mobility services Filter to this value | orientation and mobility services accreditation required: current certification from the Academy for Certification of Vision Rehabilitation and Education Professionals (ACVREP) who may perform: A certified orientation and mobility specialist | 609 |