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26 modifier Acute and/or mortality area(s artery assessment billed biopsy Blue Shield body area bronchoscopy central venous catheter chest claims clinical complete code COMPLEXITY SEVERITY Comprehensive Codes COMPREHENSIVE COMPREHENSIVE HIGH CONSCIOUS SEDATION contrast material COPD CPT codes critical care code critical care services Cystic Fibrosis describe descriptions descriptors Disease documented Dyspnea E/M services elements identified endoscopy ESTABLISHED PATIENT Evaluation and Management Example EXPANDED PROBLEM FOCUSED fluoroscopic guidelines HCFA HCPCS Hemophilus influenza HIGH SEVERITY hospital hour inpatient intubation laryngoscopy level of E/M lung MD Internal medical decision Medicare Medicare carrier MODERATE COMPLEXITY multisystem NATURE AVG outpatient oximetry payment payors pediatric pulmonologists percutaneous performed PFSH physician placement pleurodesis Pneumonia polysomnography present illness PROBLEM TIME MINS procedure or service professional component pulmonary medicine Regional Administrator respiratory failure risk SERVICES Code spirometry surgery surgical therapeutic thoracentesis thoracoscopy three key components tion two-digit numeric modifiers venipunctures