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
11883 Filter to this value Explore graph node	0100 Filter to this value	0100 disposition: payable disposition: payable-with-criteria effective-date: not-stated payable: true Filter to this value	820
11886 Filter to this value Explore graph node	0185 Filter to this value	0185 disposition: payable disposition: payable-with-criteria effective-date: not-stated payable: true Filter to this value	821
11942 Filter to this value Explore graph node	Participant Directed and Managed Services Filter to this value	Participant Directed and Managed Services who may perform: persons qualified pursuant to He-M 506 who may perform: persons qualified pursuant to He-M 506 in cases where services are provided by relatives other than parents or by friends who may perform: relatives other than parents or by friends	822
12125 Filter to this value Explore graph node	17 Filter to this value	17 who may perform: Ordering Provider who may perform: Referring Provider who may perform: Supervising Provider Filter to this value	823
12142 Filter to this value Explore graph node	PDN Filter to this value	PDN payable-with-criteria: PDN shall be a covered service when: a. It is part of the member's medical regimen and rendered under the order and general direction of the member's physician; b. It is provided in one of the following locations: 1. The member's home; or 2. In locations other than the member's home when routine life activities take the member outside of the home if the services would have otherwise been provided in the member's home; and c. Prior authorization has been requested and obtained. prior-authorization-required: Prior authorization has been requested and obtained.	824
12189 Filter to this value Explore graph node	T-1019 Filter to this value	T-1019 criteria: To be eligible for PCA services, the member must be: a. At least 18 years of age; b. His/her own legal guardian; c. Chronically wheelchair-mobile; d. Medically stable and able to participate fully in activities of daily living; e. Able to select and direct the personal care attendant in the implementation of a personal care plan; and f. Able to live in a non-institutional environment without the need for 24-hour care, but requires a minimum of 2 hours of medically oriented care per day. PCA services shall be covered when: 1. Such care is medically oriented 2. Such care is part of a plan of care developed by a Registered Nurse (RN) and prescribed by a physician; 3. Such care is provided in the home or in locations other than the home, if the services would have otherwise been provided in the home 4. The frequency, duration and volume of such care is consistent with the member's demonstrated needs for assistance as documented in the plan of care; 5. The plan of care is reviewed every 60 days by an RN, and 6. Any revisions to the plan of care as a result of the 60-day review are prescribed by a physician disposition: payable-with-criteria payable-with-criteria: PCA services shall be covered when: 1. Such care is medically oriented 2. Such care is part of a plan of care developed by a Registered Nurse (RN) and prescribed by a physician; 3. Such care is provided in the home or in locations other than the home, if the services would have otherwise been provided in the home 4. The frequency, duration and volume of such care is consistent with the member's demonstrated needs for assistance as documented in the plan of care; 5. The plan of care is reviewed every 60 days by an RN, and 6. Any revisions to the plan of care as a result of the 60-day review are prescribed by a physician	825
12323 Filter to this value Explore graph node	T1027 TH Filter to this value	T1027 TH disposition: payable-with-criteria Filter to this value	826
12327 Filter to this value Explore graph node	SUD codes Filter to this value	SUD codes disposition: payable Filter to this value	827
12330 Filter to this value Explore graph node	E&M codes with modifier HF Filter to this value	E&M codes with modifier HF disposition: payable-with-criteria Filter to this value	828
12332 Filter to this value Explore graph node	99202 Filter to this value	99202 disposition: payable disposition: payable-with-criteria Filter to this value	829

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