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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9196
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Child Medical Evaluation and Medical Team Conference for Child Maltreatment (CMEP)
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Child Medical Evaluation and Medical Team Conference for Child Maltreatment (CMEP) who may perform: rostered CMEP providers670
9206
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99381EP-99385EP
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99381EP-99385EP disposition: payable
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671
9208
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99391EP-99395EP
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99391EP-99395EP disposition: payable
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672
9210
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85018
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85018 criteria: Diagnostic Lab Pays separately pursuant to Medicaid Fee Schedule and is excluded from PPS APM Rate disposition: payable disposition: payable-with-criteria medicaid-nc code-disposition criteria: Diagnostic Lab Pays separately pursuant to Medicaid Fee Schedule and is excluded from PPS APM Rate medicaid-nc code-disposition disposition: payable medicaid-nc code-disposition disposition: payable-with-criteria medicaid-nc code-disposition payable: Pays separately pursuant to Medicaid Fee Schedule673
9212
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90651
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90651 criteria: Pays zero from Medicaid Fee Schedule and is included in PPS APM Rate disposition: integral-to-other-service disposition: not-reimbursable disposition: payable-with-criteria medicaid-nc code-disposition criteria: Pays zero from Medicaid Fee Schedule and is included in PPS APM Rate medicaid-nc code-disposition disposition: integral-to-other-service medicaid-nc code-disposition disposition: payable-with-criteria medicaid-nc code-disposition integral-to-other-service: included in PPS APM Rate medicaid-sc code-disposition disposition: payable674
9214
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S0280
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S0280 disposition: payable disposition: payable-with-criteria medicaid-nc code-disposition criteria: per the approved NC Medicaid State Plan Methodology medicaid-nc code-disposition disposition: payable medicaid-nc code-disposition disposition: payable-with-criteria medicaid-sd code-disposition disposition: payable-with-criteria medicaid-sd code-disposition effective_date: not-stated payable-with-criteria: Following the complete development of the Person-Centered Care plan payable-with-criteria: per the approved NC Medicaid State Plan Methodology payable-with-criteria: shall continue to be reimbursed per the approved NC Medicaid State Plan Methodology675
9216
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S0281
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S0281 disposition: payable disposition: payable-with-criteria medicaid-nc code-disposition criteria: per the approved NC Medicaid State Plan Methodology medicaid-nc code-disposition disposition: payable medicaid-nc code-disposition disposition: payable-with-criteria medicaid-sd code-disposition disposition: payable-with-criteria medicaid-sd code-disposition effective_date: not-stated payable-with-criteria: Following the postpartum exam payable-with-criteria: per the approved NC Medicaid State Plan Methodology payable-with-criteria: shall continue to be reimbursed per the approved NC Medicaid State Plan Methodology676
9221
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Administration codes
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Administration codes criteria: should not be billed with an NDC code disposition: not-reimbursable disposition: payable-with-criteria677
9230
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G0330
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G0330 criteria: Only "1" unit should be submitted on detail line 1 of the claim as the total number of units. criteria: The total operating room time on detail line 1 of the claim (1~unit=1 minute). disposition: payable effective date: Jan. 1, 2023 effective date: Jan. 1, 2023 - Oct. 4, 2023 effective date: Jan. 1, 2024 effective date: Jan. 1, 2024 – Current effective date: Oct. 4, 2023 effective date: Oct. 4, 2023 – Dec. 31, 2023 effective_date: January 1, 2023 effective_date: January 1, 2024 effective_date: October 4, 2023 medicaid-nc code-disposition criteria: Only "1" unit should be submitted on detail line 1 of the claim as the total number of units. medicaid-nc code-disposition criteria: Only “1” unit should be submitted on detail line 1 of the claim as the total number of units. medicaid-nc code-disposition criteria: Only “1” unit should be submitted on detail line 1 of the claim as the total number of units. *These claims are reimbursed using the fee schedule flat rate. medicaid-nc code-disposition criteria: The total operating room time on detail line 1 of the claim (1 unit =1 minute). *These claims are reimbursed based on total time for the service using fee schedule rate groups. medicaid-nc code-disposition criteria: The total operating room time on detail line 1 of the claim (1~unit=1 minute). medicaid-nc code-disposition criteria: The total operating room time on detail line 1 of the claim (1~unit=1 minute). (Inclusion of this data on the claim is for informational purposes only) *These claims are reimbursed using the fee schedule flat rate. medicaid-nc code-disposition disposition: payable medicaid-nc code-disposition disposition: payable-with-criteria medicaid-nc code-disposition effective-date: Jan. 1, 2023 medicaid-nc code-disposition effective-date: Jan. 1, 2023 - Oct. 4, 2023 medicaid-nc code-disposition effective-date: Jan. 1, 2024 medicaid-nc code-disposition effective-date: Jan. 1, 2024 – Current medicaid-nc code-disposition effective-date: January 1, 2023 medicaid-nc code-disposition effective-date: January 1, 2024 medicaid-nc code-disposition effective-date: Oct. 4, 2023 medicaid-nc code-disposition effective-date: Oct. 4, 2023 – Dec. 31, 2023 medicaid-nc code-disposition effective-date: October 4, 2023 medicaid-nc code-disposition effective_date: Jan. 1, 2023 medicaid-nc code-disposition effective_date: Jan. 1, 2024 medicaid-nc code-disposition effective_date: Oct. 4, 2023 medicaid-nc code-disposition end_date: Dec. 31, 2023 medicaid-nc code-disposition end_date: Oct. 4, 2023 payable-with-criteria: true payable: true678
9246
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0360
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0360 criteria: As appropriate for a dental operating room case disposition: payable-with-criteria
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679

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