knowledge/lexical/codes

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7987
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96112
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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
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96110
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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
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A9900
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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-criteria602
8005
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T1002
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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-stated603
8008
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T1003
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T1003 disposition: not-stated effective date: not-stated
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604
8025
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90832 Modifier AH
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90832 Modifier AH disposition: payable effective date: December 16, 2025 not-stated: true
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605
8027
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90853 Modifier AH
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90853 Modifier AH disposition: payable effective date: December 16, 2025 not-stated: true
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606
8063
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V5299
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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
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T1502 Modifier KO
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T1502 Modifier KO not-stated: disposition not stated
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608
8091
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orientation and mobility services
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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 specialist609

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