Rhode Island DHS

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Local to National Code Crosswalks
  

HIPAA (Health Insurance Portability & Accountability Act) mandates that all states eliminate
the use of their local procedure codes and local modifiers except as specifically provided within
42 CFR (Code of Federal Regulations).

RI local codes have been mapped to any existing or new National HCPCS, CPT, ADA or
other National Code Sets. There are some local codes that will remain due to the code being
non-medical or no appropriate national code crosswalk.

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Adult Day Care Assisted Living
Case Management CEDARR Direct Services (HBTS, Kids Connect & PASS)
CEDARR Services Community Mental Health Centers
Dental Drug Court
Durable Medical Equipment (DME) Early Intervention
Emergency Response Federally Qualified Health Center (FQHC)
Group Behavioral Health Services Hippotherapy
Home Health Hospice
Indian Health Center Lead Center
Licensed Therapist Local Education Agency (LEA)
Meals on Wheels Orthodontics
Personal Care/Homemaker Services Physician
Severely Disabled Children
Homemaker Services
Substance Abuse
Vision