question

Anesthesia sservices are based on ______time the patient is under the anesthesiologist's care. Calculation of units of time is determined by the third-party payer.

answer

total

question

Anesthesia time begins when the anesthesiologist______continues_______the procedure, and ends when________.

answer

begins to manage patient in the operating room throughout procedure patient is turned over to post-anesthesia caregiver

question

According to the Anesthesia Guidelines, what is the one modifier that is not used with anesthesia procedures?

answer

47

question

"P1" is an example of what type of modifier?

answer

physical status

question

What word means "in a dying state"?

answer

moribund

question

What word means "affecting the body as a whole"?

answer

systemic

question

The letter "P" in combination with what number indicates a brain-dead patient?

answer

P6

question

What type of circumstance identifies a component of anesthesia service that affects the character of the service?

answer

qualifying

question

According to the Anesthesia Guidelines, the Seperate or Multiple Procedures section, when multiple surgical procedures are performed during a single anesthetic administration, the anesthesia code representing the most ________ procedure is reported and the time reported is the__________

answer

complex combined total

question

Is it true that a physician who personally administers the anesthesia to the patient upon whom he/she is operating cannot bill the third-party payer

answer

no

question

What is the name of the guide that is published (annually) by the American Society of Anesthesiologists and provides the weights of various anesthesia services?

answer

relative value guide (RVG)

question

Anesthesia for tendon repair of the shoulder, normal, healthy patient

answer

01610-P1

question

Anesthesia for a cesarean hysterectomy following neuraxial labor anesthesia, normal healthy patient

answer

10967-P1 01969-P1

question

Anesthesia for a missed abortion procedure in which the mother is in grave danger of death

answer

01965-P5

question

Cranioplasty for a depressed skull fracture, simple, extradural, for a patient with mild diabetes, well-controlled

answer

00215-P2

question

Total hip replacement in a 75 -year- old patient with hypertension that is well controlled with medication

answer

01214-P2 99100

question

Burn excision of 5% of the total body surface with skin grafting of the abdomen. Patient is 9 months old and in stable condition

answer

01952-P1 99100

question

Hospital management of a continuous epidural drug delivery system for 5 days

answer

01996 x5

question

Arthroscopic total wrist replacement in a normal, healthy patient

answer

01832-P1

question

theraputic

answer

treating

question

diagnostic

answer

trying to diagnose problem

question

anesthesia formula

answer

B+T+M B-Base Unit, T-Time Unit, M-Modifying Unit

question

Base Unit (B)

answer

Based on complexity Base Unit Value (BUV) assigned nuerical values to each service

question

Time Unit (T)

answer

Patient record indicates time, e.g., 15,30,60 minutes Often, 15 minutes= 1 unit 60 minutes= 4 units Begins: anesthesiologist begins to manage patient in the operating room-preop Continues: throughout procedure-intraop Ends: Patient no longer under care of anesthesiologist-postop PACU=Post-Anesthesia Care Unit (recording total time)

question

Modifying Unit (M)

answer

Physical conditon indicated by physical status modifier P1-P6, Anesthesia Guidelines Risk Factor NOT reported for Medicare

question

Physical Status Modifiers P1-P6

answer

these modifiers indicate the patient's condition at the time the anesthesia was administered and identify level of complexity of the services provided to the patient. Used after the five-digit CPT code. Payment differential based on some physical status ratings.

question

P1

answer

Normal, healthy

question

P2

answer

Mild systemic disease

question

P3

answer

Severe systemic disease

question

P4

answer

Severe systemic disease and in constant threat to life

question

P5

answer

Not expected to survive without operation

question

P6

answer

Brain dead

question

Most anesthesia codes are divided:

answer

First by anatomic site and then by specific type of procedure

question

HCPCS Modifiers

answer

Added to anesthesia code: -AA, -AD, -G8 MAC, -G9 MAC, QK, QS MAC, QX CRNA, QY MAC, QZ CRNA

question

-AA

answer

Anesthesia by Anesthesiologist

question

-AD

answer

Physician, medical supervision, 4+ concurrent procedure

question

-G8 MAC

answer

(monitored anesthesia care), complex procedures

question

-G9 MAC

answer

patient history of severe cardiopulmonary condition

question

-QK

answer

qualified individual, medical direction of 2, 3, 4 concurrent cases

question

-QS MAC

answer

monitored anesthesia care

question

-QX CRNA

answer

(certified registered nurse anesthetist) service, directed by physician

question

-QY MAC

answer

anesthesiologist directing one CRNA

question

-QZ CRNA

answer

without direction

question

Anesthesiologist

answer

physicians specializing in perioperative care, development of an anesthetic plan, and the administration of anesthetics

question

Anesthetist

answer

a nurse who specializes in the administration of anesthesia

question

Another Modifying Unit

answer

*Qualifying Circumstances, 99100-99140 *In Anesthesia Guidelines *Also in Medicine section *Not reported in Medicare

question

What two words describe a decreased level of consciousness that does not put patients completely to sleep and allows the patient to breathe on their own during a surgical procedure?

answer

moderate/conscious sedation

question

What do the initials CRNA stand for?

answer

certified registered nurse anesthetist

question

CMS publishes an anuual list of _____values for anesthesia codes

answer

base unit

question

The "M" in the anesthesia formula stands for_______unit

answer

modifying

question

What is the term that describes the services provided to a patient by the physician before surgery?

answer

pre-op

question

What is another term for the time after the surgery when the physician provides services to the patient?

answer

post-op

question

The______factor for the locale is multiplied by the number of base units in the procedure plus the time units to determine the price of the anesthesia service

answer

conversion

question

The modifier indicates that a CRNA service with medical direction by a physician was provided

answer

-QX

question

Patient with a severe systemic disease that is a constant threat to life

answer

P4

question

Normal, healthy patient

answer

P1

question

Patient with a severe systemic disease

answer

P3

question

Declared brain-dead patient whose organs are being removed for donor purposes

answer

P6

question

Patient with mild systemic disease

answer

P2

question

Moribund patient who is not expected to survive the surgery without the operation

answer

P5

question

Diagnostic arthroscopic procedure of knee joint

answer

anesthesia,knee 01382

question

Radical hysterectomy

answer

anesthesia, hysterectomy-radical 00846

question

corneal transplant

answer

anesthesia, corneal transplant 00144

question

cesarean delivery only

answer

anesthesia, cesarean delivery 01961

question

Otoscopy used in procedure for middle ear

answer

anesthesia, otoscopy 00124

question

Transurethral resection of the prostate

answer

anesthesia, transurethral procedures 00914

question

Anesthesia for a cardiac catherization patient having mild systemic disease

answer

01920-P2

question

Anesthesia for a myringotomy on a health 5-year-old patient

answer

00120-P1

question

Diverticulitis of colon with hemorrhage

answer

ICD-9: 562.13

question

Atherosclerosis of coronary artery bypass graft utilizing internal mammary artery

answer

ICD-9: 414.04

question

Toxic diffuse goiter with thyrotoxic crisis

answer

ICD-9: 242.01

question

Mitral Valve regurgitation as a late effect of Fen-Phen, taken as prescribed, initial encounter

answer

ICD-9: 424.0 & 909.5

Chapter 12 Anesthesia 2014 Step-By-Step Medical Coding – Flashcards

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