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
12604
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General supervisory services
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General supervisory services who may perform: medical director
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840
12606
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Interdisciplinary group physician services
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Interdisciplinary group physician services supervision level: supervision of care and services who may perform: physician member of the interdisciplinary group841
12693
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T1005
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T1005 disposition: payable-with-criteria effective date: January 1, 2021 medicaid-nm code-disposition criteria: Additional hours may be requested if an eligible recipient's health and safety needs exceed the specified limit. medicaid-nm code-disposition criteria: For children and youth up to 21 years of age diagnosed with a serious emotional or behavioral health disorder, respite services are limited to 720 hours a year or 30 days. medicaid-nm code-disposition criteria: Respite services are limited to a maximum of 100 hours annually per care plan year provided there is a primary caretaker. medicaid-nm code-disposition disposition: payable-with-criteria medicaid-sd code-disposition criteria: subject to EVV medicaid-sd code-disposition disposition: payable-with-criteria medicaid-sd code-disposition effective-date: January 1, 2021 medicaid-sd code-disposition effective_date: January 1, 2021842
12722
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0919
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0919 disposition: payable effective date: not-stated payable: true
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843
12727
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CPT or HCPCS
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CPT or HCPCS disposition: payable effective date: not-stated
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844
12813
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XP
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XP payable-with-criteria: A service that is distinct because it was performed by a separate practitioner.
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845
12815
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XU
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XU payable-with-criteria: A service that is distinct because it does not overlap usual components of the main service.
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846
12840
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ASAM Level 3.7
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ASAM Level 3.7 supervision level: under the direction of a physician or clinical nurse practitioner who may interpret: psychologists who may interpret: social workers who may perform: clinical nurse practitioner who may perform: medical and nursing professionals who may perform: nursing staff who may perform: psychologists who may perform: social workers847
12849
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ASAM Level 3.7-WM
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ASAM Level 3.7-WM supervision level: monitored by medical or nursing professionals supervision level: under the direction of a licensed physician who may perform: addiction specialists who may perform: nursing care who may perform: other health and technical personnel who may perform: peer support workers who may perform: social workers848
12857
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H0047
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H0047 criteria: This funding is only available for AARTCs who are billing Medicaid fee-for-service criteria: This funding is only available for AARTCs who are billing Medicaid fee-for-service and is not reimbursed by Medicaid managed care. disposition: payable-with-criteria integral-to-other-service: Assessment and Monitoring (H0047) integral-to-other-service: These RNP services include SUD Case Management (H0006) and Assessment and Monitoring (H0047). medicaid-nm code-disposition disposition: payable-with-criteria medicaid-ri code-disposition disposition: integral-to-other-service not-reimbursable: is not reimbursed by Medicaid managed care not-reimbursable: true payable-with-criteria: This funding is only available for AARTCs who are billing Medicaid fee-for-service payable-with-criteria: true849

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Evidence receipt r16126

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