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the fall endpoint\nTreat thigh fracture"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2814%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":14,"RowId@odata.type":"#Int64","code":"27236","node_id":2338,"node_id@odata.type":"#Int64","text":"27236\nORIF femoral neck fracture, open, with implant\nTreat thigh fracture"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2815%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":15,"RowId@odata.type":"#Int64","code":"27244","node_id":2339,"node_id@odata.type":"#Int64","text":"27244\nORIF intertrochanteric/subtrochanteric femoral fracture, plate/screw\nTreat thigh fracture"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2816%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":16,"RowId@odata.type":"#Int64","code":"27245","node_id":2340,"node_id@odata.type":"#Int64","text":"27245\nORIF intertrochanteric/subtrochanteric femoral fracture, intramedullary\nTreat thigh fracture"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2817%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":17,"RowId@odata.type":"#Int64","code":"27447","node_id":2341,"node_id@odata.type":"#Int64","text":"27447\nTotal knee arthroplasty\nTotal knee arthroplasty - TEAM episode category (HIGH VOLUME)"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2818%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":18,"RowId@odata.type":"#Int64","code":"3074F","node_id":2344,"node_id@odata.type":"#Int64","text":"3074F\nCBP numerator | Most recent systolic BP < 130 mmHg - CPT-II tracking code, expected $0\nSyst bp lt 130 mm hg"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2819%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":19,"RowId@odata.type":"#Int64","code":"3075F","node_id":2345,"node_id@odata.type":"#Int64","text":"3075F\nCBP numerator | Most recent systolic BP 130-139 mmHg - CPT-II tracking code, expected $0\nSyst bp ge 130 - 139mm hg"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2820%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":20,"RowId@odata.type":"#Int64","code":"3077F","node_id":2346,"node_id@odata.type":"#Int64","text":"3077F\nCBP numerator | Most recent systolic BP >= 140 mmHg - CPT-II tracking code, expected $0\nSyst bp >= 140 mm hg"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2821%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":21,"RowId@odata.type":"#Int64","code":"3078F","node_id":2347,"node_id@odata.type":"#Int64","text":"3078F\nCBP numerator | Most recent diastolic BP < 80 mmHg - CPT-II tracking code, expected $0\nDiast bp <80 mm hg"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2822%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":22,"RowId@odata.type":"#Int64","code":"3079F","node_id":2348,"node_id@odata.type":"#Int64","text":"3079F\nCBP numerator | Most recent diastolic BP 80-89 mmHg - CPT-II tracking code, expected $0\nDiast bp 80-89 mm hg"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2823%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":23,"RowId@odata.type":"#Int64","code":"3080F","node_id":2349,"node_id@odata.type":"#Int64","text":"3080F\nCBP numerator | Most recent diastolic BP >= 90 mmHg - CPT-II tracking code, expected $0\nDiast bp >= 90 mm hg"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2824%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":24,"RowId@odata.type":"#Int64","code":"50200","node_id":2350,"node_id@odata.type":"#Int64","text":"50200\nRenal biopsy perq\nRenal biopsy, percutaneous - 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supervised modality"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2872%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":72,"RowId@odata.type":"#Int64","code":"97032","node_id":2635,"node_id@odata.type":"#Int64","text":"97032\nAppl modality 1+estim ea 15\nElectrical stimulation manual, each 15 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2873%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":73,"RowId@odata.type":"#Int64","code":"97035","node_id":2642,"node_id@odata.type":"#Int64","text":"97035\nApp mdlty 1+ultrasound ea 15\nUltrasound therapy, each 15 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2874%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":74,"RowId@odata.type":"#Int64","code":"97110","node_id":2643,"node_id@odata.type":"#Int64","text":"97110\nTherapeutic exercise, each 15 min - the single most-billed PT unit\nTherapeutic exercises"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2875%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":75,"RowId@odata.type":"#Int64","code":"97112","node_id":2646,"node_id@odata.type":"#Int64","text":"97112\nNeuromuscular reeducation\nNeuromuscular reeducation, each 15 min - gait/balance/proprioception"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2876%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":76,"RowId@odata.type":"#Int64","code":"97116","node_id":2647,"node_id@odata.type":"#Int64","text":"97116\nGait training therapy\nGait training, each 15 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2877%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":77,"RowId@odata.type":"#Int64","code":"97140","node_id":2648,"node_id@odata.type":"#Int64","text":"97140\nManual therapy 1/> regions\nManual therapy techniques, each 15 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2878%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":78,"RowId@odata.type":"#Int64","code":"97161","node_id":2651,"node_id@odata.type":"#Int64","text":"97161\nPT evaluation low complexity\nPt eval low complex 20 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2879%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":79,"RowId@odata.type":"#Int64","code":"97162","node_id":2656,"node_id@odata.type":"#Int64","text":"97162\nPT evaluation moderate complexity\nPt eval mod complex 30 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2880%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":80,"RowId@odata.type":"#Int64","code":"97163","node_id":2657,"node_id@odata.type":"#Int64","text":"97163\nPT evaluation high complexity\nPt eval high complex 45 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2881%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":81,"RowId@odata.type":"#Int64","code":"97164","node_id":2658,"node_id@odata.type":"#Int64","text":"97164\nPT re-evaluation - billed at the extension decision point\nPt re-eval est plan care"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2882%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":82,"RowId@odata.type":"#Int64","code":"97530","node_id":2659,"node_id@odata.type":"#Int64","text":"97530\nTherapeutic activities\nTherapeutic activities, each 15 min\ndisposition: not-stated\neffective date: not-stated\nhighmark code-disposition\ndisposition: not-stated\nhighmark code-disposition\neffective date: not-stated"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2883%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":83,"RowId@odata.type":"#Int64","code":"97535","node_id":2660,"node_id@odata.type":"#Int64","text":"97535\nSelf care mngment training\nSelf-care/home management training, each 15 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2884%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":84,"RowId@odata.type":"#Int64","code":"97750","node_id":2662,"node_id@odata.type":"#Int64","text":"97750\nPhysical performance test\nPhysical performance test/measurement, each 15 min - objective testing"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2885%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":85,"RowId@odata.type":"#Int64","code":"98975","node_id":2663,"node_id@odata.type":"#Int64","text":"98975\nRTM setup and patient education on equipment - once per episode, needs 2+ days data\nRtm 1st set-up&pt educaj eqp"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2886%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":86,"RowId@odata.type":"#Int64","code":"98976","node_id":2664,"node_id@odata.type":"#Int64","text":"98976\nRTM device supply RESPIRATORY 16-30 days\nRtm dev sply resp sys 16-30d"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2887%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":87,"RowId@odata.type":"#Int64","code":"98977","node_id":2665,"node_id@odata.type":"#Int64","text":"98977\nRTM device supply MUSCULOSKELETAL 16-30 days - OneStep's assumed workhorse\nRtm dev sply mscskl 16-30 d"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2888%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":88,"RowId@odata.type":"#Int64","code":"98978","node_id":2666,"node_id@odata.type":"#Int64","text":"98978\nRTM device supply COGNITIVE BEHAVIORAL 16-30 days\nRtm dev sply cbt 16-30 d"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2889%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":89,"RowId@odata.type":"#Int64","code":"98979","node_id":2667,"node_id@odata.type":"#Int64","text":"98979\nNEW CY2026 - RTM treatment mgmt first 10-19 min/calendar month\nRtm tx mgmt 1st 10 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2890%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":90,"RowId@odata.type":"#Int64","code":"98980","node_id":2668,"node_id@odata.type":"#Int64","text":"98980\nRTM treatment mgmt first 20 min/calendar month\nRtm tx mgmt 1st 20 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2891%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":91,"RowId@odata.type":"#Int64","code":"98981","node_id":2669,"node_id@odata.type":"#Int64","text":"98981\nRTM treatment mgmt each additional 20 min\nRtm tx mgmt ea addl 20 min"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2892%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":92,"RowId@odata.type":"#Int64","code":"98984","node_id":2670,"node_id@odata.type":"#Int64","text":"98984\nNEW CY2026 - RTM device supply RESPIRATORY 2-15 days\nRtm dev sply resp sys 2-15 d"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2893%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":93,"RowId@odata.type":"#Int64","code":"98985","node_id":2671,"node_id@odata.type":"#Int64","text":"98985\nNEW CY2026 - RTM device supply MUSCULOSKELETAL 2-15 days - THE Phase 0 question\nRtm dev sply mscsk sys 2-15d"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2894%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":94,"RowId@odata.type":"#Int64","code":"99091","node_id":2672,"node_id@odata.type":"#Int64","text":"99091\nCBP | Collection and interpretation of physiologic data, 30 min - pre-RPM legacy path\nCollj & interpj data ea 30 d"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2895%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":95,"RowId@odata.type":"#Int64","code":"99213","node_id":2673,"node_id@odata.type":"#Int64","text":"99213\nCBP denominator | Office visit established patient, low complexity - where a BP is captured\nOffice o/p est low 20 min\ncriteria: 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.\ndisposition: payable\ndisposition: payable-with-criteria\nmedicaid-hi code-disposition\ncriteria: 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.\nmedicaid-hi code-disposition\ndisposition: payable-with-criteria"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2896%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":96,"RowId@odata.type":"#Int64","code":"99214","node_id":2676,"node_id@odata.type":"#Int64","text":"99214\nCBP denominator | Office visit established patient, moderate complexity - HTN workhorse\nOffice o/p est mod 30 min\ncriteria: 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.\ndisposition: payable\ndisposition: payable-with-criteria\nmedicaid-hi code-disposition\ncriteria: 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.\nmedicaid-hi code-disposition\ndisposition: payable-with-criteria"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2897%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":97,"RowId@odata.type":"#Int64","code":"99215","node_id":2677,"node_id@odata.type":"#Int64","text":"99215\nCBP denominator | Office visit established patient, high complexity\nOffice o/p est hi 40 min\ncriteria: 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.\ndisposition: payable\ndisposition: payable-with-criteria\nmedicaid-hi code-disposition\ncriteria: 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.\nmedicaid-hi code-disposition\ndisposition: payable-with-criteria\nmedicaid-ri code-disposition\ndisposition: prior-authorization-required\nmedicaid-ri code-disposition\npayable-with-criteria: Massachusetts providers only may bill for this procedure.\nmedicaid-ri code-disposition\nprior-authorization-required: true\nprior-authorization-required: true\nwho may perform: Massachusetts providers only"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2898%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":98,"RowId@odata.type":"#Int64","code":"99283","node_id":2678,"node_id@odata.type":"#Int64","text":"99283\nED visit, moderate complexity - fall presentation\nEmergency dept visit low mdm\ndisposition: payable"},{"@odata.id":"/odata/49ec6090f32b112cd7fc2d39a72e0974/7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba/T_knowledge_lexical_codes_06d6e9712e34%2899%29?ledger=49ec6090f32b112cd7fc2d39a72e0974&snapshot=7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba","RowId":99,"RowId@odata.type":"#Int64","code":"99284","node_id":2679,"node_id@odata.type":"#Int64","text":"99284\nED visit, high complexity - fall presentation\nEmergency dept visit mod mdm\ndisposition: payable"}]}