It helps to think of these kinds of situations as all one visit until either 1) patient is admitted or 2) calendar date changes.
First ED doc bills critical care (99291 - 99292 depending on time documented)
You need a -25 modifier on the E/M code. No modifier needed on intubation (CPT 31500, I assume).
IMPORTANT QUESTION: Has patient been admitted? (Even though physically still in the ER awating a bed?) If so, once admitted your POS is inpatient!
After midnight - new date of service. Critical care (if appropriate) - you can add all the critical care time together to code. NOTE If you are going to bill for the CPR you must subtract the time spent in CPR from the critical care time. Technically if your ER doctor is the one who pronounces the patient he could also bill a discharge (but if you're billing critical care I would just ignore the discharge code).
Hope that helps.
F Tessa Bartels, CPC, CEMC
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