EM CPT
ICD-10
Modifiers
Procedure CPT
Coding Potpourri
100

This CPT code describes prolonged services in either the inpatient or observation setting, requiring unit or floor time beyond the usual service for the first hour

99356

100

In this chapter of the ICD-10 manual coders would find diagnosis codes for neoplasms, such as C64.9 and C61

Chapter 2

100

When split-shared services are performed by an APP and physician, this modifier indicates that the substantive portion of the visit was completed by the APP

FS

100

This CPT code describes an emergent endotracheal intubation procedure

31500

100

This term describes ICD-10 codes that should not be used at the same time

Excludes 1

200

This range of time must be documented in order to bill CPT 99406, intermediate smoking and tobacco cessation counseling

Greater than 3, up to 10 minutes

200

This common term describes diagnosis codes that have assumed relationships and are coded in conjunction with one another

Combination codes

200

When critical care services have been performed on the same date of service after an EM service was performed by either the same provider or same group, which modifier needs to be applied to the critical care code(s)

25

200

This CPT code describes the insertion of a non-tunneled centrally inserted venous catheter for a patient who is 5 years or older

36556

200

When a patient is see in the Emergency Department, this place of service code is used

POS 23

300

When both an admission and a discharge service are provided by the same group on the same date of service, this code range should be utilized

99234-99236

300

These diagnosis codes should be used when a patient is diagnosed with the following conditions:

Hypertension

ESRD

Type 2 Diabetes

i12.0, N18.6, E11.22

300

When services are performed by a resident in a teaching facility under the direction of a teaching physician, this modifier should be appended

GC

300

This CPT code is billed when a diagnostic lumbar puncture, or "spinal tap" is performed

62270

300

Certain payers do not recognize consult codes, because of this our company built and utilizes what are commonly referred to as these

i-codes

400

The following key elements describe this inpatient consultation CPT code: a comprehensive history, a comprehensive exam and medical decision making of moderate complexity

99254

400

When patients have a cardiac pacemaker, this diagnosis code should be used

Z95.0
400

This modifier is applied on certain procedures to indicate only the providers’ professional component is being reported/billed for

26

400

This incision CPT code is commonly billed for the correction of "tongue-tie"

41010

400

This term describes scenarios in which certain CPT codes are not separately reportable because they are included in the main service

Bundled

500

This CPT code(s) would be billed when the provider has documented spending a total of 181 minutes provided critical care services

99291, 99292 x4

500

When a patient is diagnosed with CKD stage 5 that requires chronic dialysis, which N18 code is used

N18.6

500

When an evaluation and management service is performed and this visit results in the decision to perform surgery, you should apply this modifier

57

500

Occasionally, patient's are born with extra digits that do no include any internal structure or bone. When these are removed, this common skin tag CPT code is used

11200

500

This group, or specialty of providers work solely within the hospital setting, providing general medicine care for adult patients, though they do have a pediatric counterpart

Hospitalists