Oregon Health Plan Diagnostic Code Coverage Rules

Current codes in Group 6032 are covered by Oregon Health Plan fee-for-service when billed with a procedure code from Group 1119. The dataset includes columns for code (CDE_DIAG), effective date (DTE_EFFECTIVE), and end date (DTE_END). It was published by data.oregon.gov and last updated on March 13, 2026.

Use Cases

• Validate OHP fee-for-service coverage by joining CDE_DIAG with procedure codes from Group 1119.
• Track historical code changes by analyzing DTE_EFFECTIVE and DTE_END timelines.
• Filter active versus historical codes using the DTE_END column (e.g., end date 12/31/2299).

Strengths

• Defined temporal coverage for each code via DTE_EFFECTIVE and DTE_END columns.
• Specific linkage to OHP's Diagnostic Procedures code group (Group 1119).

Limitations

• Unknown row count and dataset size.
• Scope is limited to Oregon Health Plan rules, not generalizable.
• No sample data available to verify column contents or data quality.

Provenance

Source

data.oregon.gov

Time Range

Codes effective until 12/31/2299 indicate current coverage.

Freshness

Last updated March 13, 2026.

Geography

Oregon, United States.