Group 1119: Diagnostic Procedure Codes for Billing

Oregon's dataset lists diagnostic procedure codes, their effective and end dates, for billing and historical reference. Current codes with an end date of 12/31/2299 are covered when billed with a code from the Diagnostic Workup File (Code Group 6032). The list is provided for informational purposes and does not guarantee coverage.

Use Cases

• Verifying code coverage for billing using the Code and End Date columns.
• Tracking the historical validity of procedure codes using the Effective Date and End Date columns.
• Identifying current versus historical codes by filtering the End Date column for the value 12/31/2299.

Strengths

• Provides a specific coverage rule, stating codes with an end date of 12/31/2299 are covered when billed with codes from Group 6032.
• Dataset is maintained across multiple platforms (Socrata and Data.gov), indicating official dissemination.
• Includes temporal metadata (Effective Date, End Date) for tracking code validity.

Limitations

• Key metadata is missing or conflicting: row count, size, license, and author are unknown across all sources.
• The last updated date conflicts between Socrata entries (2026-03-15 and 2026-03-13).
• Documentation explicitly states the list does not guarantee coverage, limiting its authority for definitive decisions.

Provenance

Source

data.oregon.gov

Collection Method

Likely compiled and published by a state health or insurance agency for provider reference.

Time Range

Codes have effective and end dates; a specific end date (12/31/2299) denotes current coverage.

Freshness

2026-03-15 02:12:12.012160

Geography

Oregon, United States