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
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__row_id
Int64
2668
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98980
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98980 RTM treatment mgmt first 20 min/calendar month Rtm tx mgmt 1st 20 min
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90
2669
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98981
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98981 RTM treatment mgmt each additional 20 min Rtm tx mgmt ea addl 20 min
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91
2670
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98984
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98984 NEW CY2026 - RTM device supply RESPIRATORY 2-15 days Rtm dev sply resp sys 2-15 d
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92
2671
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98985
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98985 NEW CY2026 - RTM device supply MUSCULOSKELETAL 2-15 days - THE Phase 0 question Rtm dev sply mscsk sys 2-15d
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93
2672
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99091
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99091 CBP | Collection and interpretation of physiologic data, 30 min - pre-RPM legacy path Collj & interpj data ea 30 d
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94
2673
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99213
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99213 CBP denominator | Office visit established patient, low complexity - where a BP is captured Office o/p est low 20 min criteria: If an E&M service on a catch-up/follow-up visit requires more than a problem focused history and examination and straightforward decision making, the codes 99213-99215 with an EP modifier should be used. disposition: payable disposition: payable-with-criteria medicaid-hi code-disposition criteria: If an E&M service on a catch-up/follow-up visit requires more than a problem focused history and examination and straightforward decision making, the codes 99213-99215 with an EP modifier should be used. medicaid-hi code-disposition disposition: payable-with-criteria95
2676
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99214
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99214 CBP denominator | Office visit established patient, moderate complexity - HTN workhorse Office o/p est mod 30 min criteria: If an E&M service on a catch-up/follow-up visit requires more than a problem focused history and examination and straightforward decision making, the codes 99213-99215 with an EP modifier should be used. disposition: payable disposition: payable-with-criteria medicaid-hi code-disposition criteria: If an E&M service on a catch-up/follow-up visit requires more than a problem focused history and examination and straightforward decision making, the codes 99213-99215 with an EP modifier should be used. medicaid-hi code-disposition disposition: payable-with-criteria96
2677
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99215
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99215 CBP denominator | Office visit established patient, high complexity Office o/p est hi 40 min criteria: If an E&M service on a catch-up/follow-up visit requires more than a problem focused history and examination and straightforward decision making, the codes 99213-99215 with an EP modifier should be used. disposition: payable disposition: payable-with-criteria medicaid-hi code-disposition criteria: If an E&M service on a catch-up/follow-up visit requires more than a problem focused history and examination and straightforward decision making, the codes 99213-99215 with an EP modifier should be used. medicaid-hi code-disposition disposition: payable-with-criteria medicaid-ri code-disposition disposition: prior-authorization-required medicaid-ri code-disposition payable-with-criteria: Massachusetts providers only may bill for this procedure. medicaid-ri code-disposition prior-authorization-required: true prior-authorization-required: true who may perform: Massachusetts providers only97
2678
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99283
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99283 ED visit, moderate complexity - fall presentation Emergency dept visit low mdm disposition: payable
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98
2679
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99284
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99284 ED visit, high complexity - fall presentation Emergency dept visit mod mdm disposition: payable
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99

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