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Anesthesia

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induction or Administration of a drug to obtain partial or complete loss of sensation.

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Analgesia

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(absence of pain) is achieved so that a patient may have surgery or a procedure performed without pain.

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Endotracheal

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anesthesia is accomplished by insertion of a tube into the nose or mouth, and passing the tube into the trachea for ventilation

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Epidural

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anesthesia is the injection of an anesthetic agent into the epidural spaces between the vertebrae, also known as peridural, or epidural block.

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Spinal / Intraspinal anesthesia

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refers to anesthesia produced by an injection of local anesthetic into the subarachnoid space around the spinal cord.

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General

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Anesthesia is a state of unconsciousness that is accomplished by the use of a drug or combination of drugs administered intramuscurarly , or by inhalation.

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Regional

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Anesthesia interrupts the sensory nerve conductivity in a region of the body and is produced by a field block (forming a wall of anesthesia around the site by means of local injections) or nerve block (injection of the area close to the site). Nerve block is also known as block, block anesthesia, or condition anesthesia. Although not a type of anesthesia, a procedure used by anesthesiologists for treatment of a postdural puncture headache is a blood patch also known as an epidural blood patch (EBP).

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Blood patch procedure V

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is when a cerebrospinal fluid leak is closed by means of an injection of the patient's blood into the epidural space at or near the area of the dural puncture that was accessed during spinal anesthesia.

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Local Anesthesia

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can be accomplished by means of application of an anesthetic agent (such as lidocain) place directly on the area involved (topical anesthesia) or local infiltration through subcutaneous injection of an anesthetic agent. Lidocain can be subcutaneously injected.

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Patient-controlled analgesia (PCA)

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is a system that allows the patient to administer an analgesic drug such as morphine to control pain.

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Monitored Anesthesia Care (MAC)

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is provided by an anesthesiologist or CRNA. The patient is monitored, and if necessary, sedation is provided; even general anesthesia.

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Regional anesthesia

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uses injection to target the nerves of the area being treated.

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Spinal and Epidural anesthesia

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is administered into the cerebral fluid or epidural area of the spine that corresponds with the area being treated. Spinals are generally used for procedures below the waist. Epidural catheters are often placed to facilitate administration of medication into the spinal region.

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Moderate (Conscious) Sedation

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is a type of sedation that can be provided by a surgeon or the surgeon's staff while the surgeon is performing a procedure; it provides a decreased level of consciousness that does not put the patient completely to sleep.

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Moderate (Conscious) Sedation

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A trained observer must be present when moderate sedation services are provided by the same physician performing the therapeutic or diagnostic service in order to assist the physician are located in the Medicine section (99143-99150), not in the Anesthesia section. Codes (99143-99145) report the moderate sedation services when the service is provided by the same physician performing the diagnostic or therapeutic service and requires the presence of an independent trained observer.

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Intraservice time

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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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AA

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Anesthesia services performed personally by an anesthesiologist

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AD

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Medical supervision by a physician; more than 4 concurrent anesthesia

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G8

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Monitored anesthesia care (MAC) for deep, complex, complicated, or markedly invasive surgical procedure

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G9

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Monitored anesthesia care for patient who has a history of severe cardiopulmonary condition.

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QK

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Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals

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QS

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Monitored anesthesia care service

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QX

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Certified registered nurse anesthetist (CRNA) service, with medical direction by a physician

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QY

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Medical direction of one certified registered nurse anesthetist

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QZ

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CRNA service, without medical direction by a physician

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Mr. Coslett has multiple surgeries performed during the same operative session. Which modifier would you use? modifier -51

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modifier -51

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The modifier that indicates multiple procedures is: Modifier -51

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modifier -51

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Anesthesia code for a tympanostomy of the left ear performed on an 11-month-old female. CPT Codes: 00126, 99100.

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CPT Codes: 00126, 99100.

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Physical status modifier P3 indicates a patient with a(n) ________ systemic disease. Severe

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Severe

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Mr. Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho- surgeon provides an initial hospital visit during which it is determined that Mr. Jones has a fractured hip that will require surgical intervention. Mr. Jones is taken to the OR later that day and Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hospital visit? Modifier -57

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Modifier -57

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Assign a CPT anesthesia code for debridement of third-degree burns of right arm, 6% body surface area. CPT Code: 01952.

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CPT Code: 01952

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________ of the CPT manual lists some HCPCS modifiers. Appendix A

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Appendix A

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The society that publishes the Relative Value GuideTM for anesthesia services is the: American Society of Anesthesiologists

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American Society of Anesthesiologists

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Moderate or ________ sedation is a type of sedation that may be provided by the physician performing the procedure. Conscious

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Conscious

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Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate: that a subsequent surgery was planned at the time of the first surgery.

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that a subsequent surgery was planned at the time of the first surgery.

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Which codes begin with the number 99 and are used to indicate anesthesia services provided during situations that make the administration of the anesthesia more difficult? Qualifying Circumstances

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Qualifying Circumstances

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What modifier would you use if you were coding only the technical component of a diagnostic procedure? Modifier: TC

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Modifier: TC

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In the Anesthesia section of the CPT manual, the codes are usually divided first by which of the following? Anatomic Site

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Anatomic Site

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Modifier -59, distinct procedure service, is used to indicate that: services that are usually bundled into one payment were provided as separate services.

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services that are usually bundled into one payment were provided as separate services.

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Assign a CPT anesthesia code and applicable modifiers for anesthesia services for a 9- month-old normal child who received anesthesia for hernia repair in the lower abdomen. CPT Code: 00834-P1.

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CPT Code: 00834-P1

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Mrs. Smith presented to her physician's office for an office visit for an upper respiratory infection. The physician examines the patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that it should be removed. The mole was removed during the same office visit. The physician bills both an E/M code and a procedure code. Which modifier would you use on the E/M code? Modifier: -25

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Modifier -25

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Modifier -51, Multiple Procedure, is used on what type of services? Surgery

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Surgery

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Modifier -80, Assistant Surgeon, is used when: A second surgeon provides assistance to the primary surgeon.

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A second surgeon provides assistance to the primary surgeon.

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Daily hospital management of epidural, continuous drug administration. CPT Code: 01996.

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CPT Code: 01996

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Assign a CPT anesthesia code and applicable modifiers for anesthesia services for an 81-year-old patient with mild systemic disease who receives anesthesia for revision of total hip arthroplasty. CPT Codes: 01215-P2, 99100

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CPT Codes: 01215-P2, 99100

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When time is calculated for anesthesia services, the time begins when the anesthesiologist begins preparing the patient for anesthesia.

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the anesthesiologist begins preparing the patient for anesthesia.

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What type of nurse can administer anesthesia under the direction of an anesthesiologist? CRNA

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CRNA

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Modifier -79, unrelated procedure or service by the same physician during the postoperative period, is used on what type of service? Surgery

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Surgery

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What modifier would you use if you were coding only for the professional component of a diagnostic procedure? -26

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Modifier: -26

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The modifier"-AA" is an example of what type of modifier? HCPCS

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HCPCS

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true

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there are various types of anesthesia, and these include general, regional, or local sedation.

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false

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local anesthesia is a type of anesthesia that provides a decreased level of consciousness.

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false

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only one CPT procedure code may be represented by one anesthesia code.

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true

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anesthesia services include postoperative visits to the patient by the anesthesiologist.

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true

answer

qualifying anesthesia circumstances are adjunct codes and are used when the administration of the anesthesia is more difficult.

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the anesthesiologist begins preparing the patient for anesthesia

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when time is calculated for anesthesia services, the time begins when:

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CRNA

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what type of nurse can administer anesthesia under the direction of an anesthesiologist?

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number of cases an anesthesiologist is directing or supervising at one time

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concurrent modifiers are used to describe:

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qualifying circumstances

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99100 is an example of a:

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anatomic site

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in the anesthesia section of the CPT manual, the codes are usually divided first by which of the following?

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conscious or moderate

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what is the type of sedation that allows a procedure to be performed without pain to the patient, but the patient is not completely asleep?

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american society of anesthesiologists

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the society that publishes the relative value guide for anesthesia services is the:

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B+T+M

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the anesthesia formula is:

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qualifying circumstances

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which codes begin with the number 99 and are used to indicate anesthesia services provided during situations that make the administration of the anesthesia more difficult?

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physical

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the anesthesia status modifier that indicates the patients condition at the time anesthesia was administered is:

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HCPCS

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the modifier "-AA" is an example of what type of modifier?

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appendix A

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______ of the CPT manual lists some HCPCS modifiers.

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severe

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physical status modifier P3 indicates a patient with ____ systemic disease.

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medicine

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codes for qualifying circumstances are located in both the anesthesia guidelines and the ______ section of the CPT manual.

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01382,01400

answer

anesthesia for diagnostic arthroscopic procedure of the knee joint. CPT code:

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