Yes, and you may need to add modifier -25 to the preventive medicine code to indicate it was a significant, separately identifiable service.

There are two HCPCS modifiers you may use. Modifier -GC indicates, “This service has been performed in part by a resident under the direction of a teaching physician.” Modifier -GE indicates, “This service has been performed by a resident without the presence of a teaching physician under the primary care exception.”

One, since the descriptor itself conveys that multiple visits are involved. In other words, 59425 should be submitted once rather than on each of the four to six occasions that antepartum care is provided to a patient.

No. You should use other evaluation and management (E/M) codes (e.g., established patient office visits, subsequent hospital care, etc.) to describe your management of the patient.

You should use one of the inpatient consult codes, 99251-99255. According to CPT, these codes apply to consultations provided to “hospital inpatients, residents of nursing facilities, or patients in a partial hospital setting,” and only one initial consultation should be reported by a consultant per admission.

Four CPT codes, 90690-90693, identify typhoid vaccine products. You should pick the code that most accurately describes the product you’re using. Remember to report the administration of the vaccine as well: 90471 would be the correct choice assuming you administered just one vaccine.

The answer depends on the service you actually provided and whether you were the admitting physician at the facility to which the patient was transferred. If you provided a consultation, as defined by CPT, in the ED, then you should code one of the office or other outpatient consultation codes, 99241-99245. These codes are used to report consultations provided in the physician’s office or in an outpatient or other ambulatory facility, including an ED, according to CPT. If your service did not meet the definition of a consultation, then you should code the appropriate level of ED visit, codes 99281-99285.

It’s unclear from your question whether you admitted the patient to the facility following the transfer. If you did, you should code an initial hospital care code, 99221-99223. Here’s the CPT explanation: “When the patient is admitted to the hospital as an inpatient in the course of an encounter in another site of service (e.g., hospital emergency department …), all evaluation and management services provided by that physician in conjunction with that admission are considered part of the initial hospital care when performed on the same date as the admission.”

You should add modifier -26, “Professional component,” to the appropriate laboratory CPT code to indicate the physician provided the professional component but that your office didn’t provide the technical component.