Question

question 19

a 5-year-old is brought to the emergency department by ambulance. he had been found floating in a pool for an unknown amount of time. ems started cpr which was continued by the ed provider along with endotracheal intubation and placement of a cvc. the er provider spent 1 hour with the critically ill patient. the ed provider makes a notation the 1 hour does not include the time for the other separate billable services. what cpt codes are reported?

92950, 99285-25, 36556, 31500
92950, 99291-25, 36556, 31603
92950, 99291-25, 36556, 31500
92950, 99291

Explanation:

Identify the codes for each documented procedure

• Cardiopulmonary Resuscitation (CPR): CPT code 92950.
• Critical Care Services (1 hour for a 5-year-old): CPT code 99291 (first 30-74 minutes of critical care for patients over 2 years of age). Modifier -25 is appended to show a significant, separately identifiable evaluation and management service on the same day as procedures.
• Central Venous Catheter (CVC) placement (5-year-old): CPT code 36556 (insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older).
• Endotracheal Intubation: CPT code 31500 (intubation, endotracheal, emergency procedure).

Match the combined code set to the options

• The correct combination of codes is 92950, 99291-25, 36556, 31500.

Answer:

• 92950, 99285-25, 36556, 31500
• 92950, 99291-25, 36556, 31603
• 92950, 99291-25, 36556, 31500 (Correct answer)
• 92950, 99291