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
13869
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5048
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5048 disposition: not-reimbursable effective-date: January 1, 2016
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930
13872
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5047
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5047 disposition: not-reimbursable effective-date: January 1, 2016
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931
13875
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8010
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8010 disposition: not-reimbursable effective-date: January 1, 2016
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932
13889
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H2036
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H2036 medicaid-ri code-disposition criteria: for each day that a member received at least 4 - 15-minute units of RNP services. The first unit must last a full 15-minutes. medicaid-ri code-disposition disposition: payable-with-criteria payable-with-criteria: A provider shall bill for one unit/day for H2036 for each day that a member received at least 4 - 15-minute units of RNP services. payable-with-criteria: A provider shall bill for one unit/day for H2036 for each day that a member received at least 4 - 15-minute units of RNP services. The first unit must last a full 15-minutes.933
13891
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H0006
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H0006 integral-to-other-service: SUD Case Management (H0006) integral-to-other-service: These RNP services include SUD Case Management (H0006) medicaid-ri code-disposition disposition: integral-to-other-service medicaid-ri code-disposition disposition: payable934
13937
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S9485
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S9485 criteria: This rate can only bill once in a 24-hour period. disposition: payable-with-criteria medicaid-ri code-disposition criteria: This rate can only bill once in a 24-hour period. medicaid-ri code-disposition criteria: can only bill once in a 24-hour period medicaid-ri code-disposition disposition: payable medicaid-ri code-disposition disposition: payable-with-criteria payable-with-criteria: The encounter rate for this service is $598.50 per encounter. This rate can only bill once in a 24-hour period. payable: true935
13949
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99211/TD
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99211/TD integral-to-other-service: true
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936
14004
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unlisted procedure code
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unlisted procedure code disposition: prior-authorization-required effective-date: not-stated
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937
14008
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V2025
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V2025 medicaid-ri code-disposition disposition: prior-authorization-required medicaid-ri code-disposition prior-authorization-required: true prior-authorization-required: true938
14010
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V2513
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V2513 disposition: prior-authorization-required medicaid-ri code-disposition disposition: prior-authorization-required prior-authorization-required: true939

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