Chapter 12 CPT Step by Step Medical Coding, R.Frasier, Nunez – Flashcards
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this code indicates anesthesia complicated by emergency surgery
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+99140
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where in the CPT is much of the information regarding what is included in an anesthesia service located
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anesthesia guidelines
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the modifier AA is an example of what type of modifier
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HCPCS
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the anesthesia status modifier that indicates the patient's condition at the time anesthesia was administered is
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physical status
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which codes begin with the number 99 and are used to indicate anesthesia services provided during situation that make the administration of the anesthesia more difficult
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qualifying circumstances
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the anesthesia formula
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B+T+M
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what type of sedation that allows procedure to be performed without pain to the patient, but the patient is not completely asleep
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moderate (conscious) sedation
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in the anesthesia section of the CPT manual, the procedure codes are divided by
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anatomic site
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the society that published the Relative Value Guide for anesthesia services
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ASA (American Society od Anesthesiologists)
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anesthesiologist, anesthetist, other physician to report the provision of anesthesia services
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anesthesia section
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means induction or administration of a drug to obtain partial or complete loss of sensation
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anesthesia
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absence of pain
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analgesia
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general, regional, local, or monitored anesthesia care
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types of anesthesia
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accomplished by insertion of a tube into the nose or mouth, and passing the tube into the trachea for ventilation
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endotracheal
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the injection of an anesthetic agent into the epidural spaces between the vertebrae
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epidural is
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refers to anesthesia produced by an injection of local anesthetic into the subarachnoid space around the spinal column
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spinal
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is a state of unconsciousness that is accomplished by the use of a drug or combination of drugs administered intramuscularly, rectally, intravenously, or by inhalation
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general
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interrupts the sensory nerve conductivity in a region of the body
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regional
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accomplished by means of application od an anesthetic agent placed directly on the area involved
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local
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system that allows the patient to administer an analgesic drug such as morphine to control pain
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patient-controlled analgesia
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patient is monitored, and if necessary, sedated
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monitored anesthesia care
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requires deep sedation, such as open heart surgery
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general anesthesia
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uses injection to target the nerves of the area being treated
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regional anesthesia
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administered into the cerebral spinal fluid or epidural area of the spine
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spinal or epidural anesthesia
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time begins with the administration of the sedation agent, requires continuous face-to-face attendance by the physician, and ends when the personal contact by the physician ends
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intraservice
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preoperative, intraoperative/intraservice, and postoperative care
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formula for anesthesia payment
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anesthesia services performed personally by an anesthesiologist
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-AA
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Medical supervision by a physician; more than 4 concurrent anesthesia procedures
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-AD
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monitored anesthesia care(MAC) for deep, complex, complicated, or markedly invasive surgical procedure
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-G8
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monitored anesthesia care for patient who has history of severe cardiopulmonary condition
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-G9
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medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals
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-QK
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monitored anesthesia service care
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-QS
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certified registered nurse anesthetist service, with medical direction by a physician
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-QX
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medical direction of one certified registered nurse anesthetist by an anesthesiologist
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-QY
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CRNA service, without medical direction by a physician
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-QZ
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modifier for patient returning to the operating room on the same day for the same or a related procedure, and the same individual is performing the second procedure
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-76
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a normal healthy patient
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P1
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a patient with a mild systemic disease
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P2
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a patient with severe systemic disease
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P3
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a patient with severe systemic disease that is a constant threat to life
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P4
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a moribund patient who is not expected to survive without the operation
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P5
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a declared brain-dead patient whose organs are being removed for donor purposes
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P6
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anesthesia for patient of extreme age, younger than 1 year and older than 70
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+99100
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anesthesia complicated by utilization of total body hypothermia
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+99116
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anesthesia complicated by utilization of controlled hypotension
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+99135
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anesthesia complicated by emergency conditions
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+99140
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a person at a point of death
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moribund
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