question

Anesthesia

answer

Induction or administration of a drug to obtain partial or complete loss of sensation.

question

Analgesia

answer

Absence of pain

question

Types of anesthesia

answer

General, Regional, Local or moderate (conscious) sedation.

question

Endotracheal anesthesia

answer

Inserting a tube into the nose or mouth and passing the tube into the trachea for ventilation.

question

Epidural anesthesia

answer

Injection of an anesthetic agent into the epidural spaces between the vertebrae, AKA peridural anesthesia, epidural, epidural block, and intraspinal anesthesia.

question

Spinal anesthesia

answer

All anesthesia procedures applied in the spinal cord area, outside of or inside of the dura mater.

question

General anesthesia

answer

State of unconsciousness accomplished by the use of drug administered by inhalation, intramuscularly, rectally, or intravenously.

question

Regional anesthesia

answer

Used to interrupt the sensory nerve conductivity in a region f the body and id produced by a field block (forming a wall of anesthesia around the site by means of local injections) or nerve block (injection of area close to the site).

question

Blood patch

answer

Not anesthesia, but a procedure. Cerebrospinal fluid leak is closed by means of an injection of the patient's blood into the area that was used during spinal anesthesia.

question

Local anesthesia

answer

Application of topical agent (lidocaine) or subcutaneous injection .

question

Patient-controlled analgesia

answer

Allows patient to administer an analgesic drug such as morphine.

question

Prepoperative, intraoperative (care during surgery) and postoperative care are included in the CPT code. (T/F)

answer

True

question

If the anesthesiologist provides care that is unusual or beyond that which would usually be provided, services can be reported how?

answer

Reported in addition to the base anesthesia service. A swan-Ganz catheter is not a normal provided service, so would be reported using a code from the Medicine section for placement of the catheter and reporting of the insertion time would result in additional payment.

question

Anesthesia formula

answer

Base units+time units+modifying units (B+T+M) x conversion factor.

question

RVG

answer

Relative value guide published by ASA (American Society of Anesthesiologists). Contains codes for anesthesia services.

question

Base unit value (accepted standard in the United States)

answer

Developed by a team of physicians with expertise in anesthesiology to compare and assign numerical values to each service. CMS publishes this annually.

question

Anesthesia services are provided based on time during which the anesthesia was administered, in total minutes. When does timing begin and end?

answer

Started when the anesthesiologist begins preparing patient to receive anesthesia, through the procedure and ends when patient is no longer under the personal care of the anesthesiologist. Carriers independently determine the amount of time in a unit.

question

2 basic modifying characteristics

answer

Qualifying circumstances and physical status modifiers

question

Adjunct codes

answer

Used under qualifying circumstances, begin with 99 and cannot be used along but must be used in addition to another code (anesthesia) and are used to provide additional information only. Qualifying circumstances codes are located in the Medicine section and the Anesthesia section guidelines.

question

Physical status modifier, used after the CPT code.

answer

2nd type of modifying unit, used to report the patient's condition at the time anesthesia was administered. Also services to identify the level of complexity of the services provided to the patient. Not assigned by the coder, but determined by the anesthesiologist and document in the anesthesia record.

question

Conversion factor

answer

Dollar value of each unit. Each 3rd party payer issues a list of conversion factors which varies from one region to another. This is multiplied by the number of units in the procedure.

question

Concurrent care modifiers

answer

Additional modifiers to indicate how many cases and anesthesiologist is performing or supervising at one time.

question

Medical direction

answer

The physician is present at the induction and emergence from anesthesia and is immediately available in case of emergency. If a Medicare patient and medical direction occurs, certain documentation must be submitted that supports certain services were personally performed by the physician.

question

Modifier used to report service where patient is returned to the operating room on the same day for the same or a related procedure, and the same physician is performing the 2nd procedure.

answer

76

question

Modifier 22 falls under close documentation scrutiny as there is a payment increase of 20-30%. (T/F)

answer

True- if received by a 3rd party payer, the claim is sent to an individual who reviews the claim.

question

3 significant times when multiple procedure are coded

answer

Same operation, different site; multiple operations, same operative session; procedure performed multiple times.

question

When coding with modifier -51 in what format should the codes be listed?

answer

First code listed (without) the modifier should be the most resource-intensive (expensive). Subsequent codes should have the modifier, listed in order of complexity from most to least. The primary (first) code would be paid at full or 100%, the second at 50% and 3rd at 24% of the fee.

question

How would you code the same procedure performed multiple times?

answer

The code by the number of units (25664 x 2) or list the procedure code once w/out -51 modifier and the same code again with a modifier. 26664, 25664-51. Look for the word "each" in the code description as a hint to use the times symbol.

question

For all Medicare claims, digit specific modifiers must be used for procedures on the hands and feet. (T/F)

answer

True

question

Moderate conscious sedation codes are located in what section of the CPT manual?

answer

Medicine

question

Where in CPT is much of the information regarding what is included in an anesthesia service located?

answer

Anesthesia guidelines

question

Anesthesia services are based on ______ time the patient is under the anesthesiologists care.

answer

Total (calculation of units of time is determined by the 3rd party payer)

question

Anesthesia time begins when the anesthesiologist _______, continues _______ the procedure, and ends when ____________.

answer

Prepares the patient to receive anesthesia; throughout; patient is no longer under the personal care of the anesthesiologist.

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

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

answer

Qualifying

question

Anesthesia procedures are divided by what type of site?

answer

Anatomic

question

When several physicians, with technicians and specialized equipment, work together to complete a complicated procedure and each physician has a specific p[portion f the surgery to compete, they are termed what?

answer

Surgical Team

question

Is it true that a physician who personally administers the anesthesia to the patient upon whom he or she is operating cannot bill the patient?

answer

No

question

Name of the guide published by the American Society of Anesthesiologists and provides the weights of various anesthesia services.

answer

RVG (Relative Value Guide)

question

2 words that describe a decreased level of consciousness that does not put patients completely to sleep & that allows the patients to breathe on their own during a surgical procedure

answer

Moderate conscious

question

CRNA stands for what?

answer

Certified Registered Nurse Anesthetist

question

Appendix in the CPT manual that contains a complete list of all modifiers

answer

A

question

Word that means assigning multiple codes when one code would do

answer

Unbundling (considered fraud)

question

Term that describes the services provided to a patient by the physician before surgery

answer

Preoperative

question

Term for the time after the surgery that the physician provides services to the patient

answer

Postoperative

question

Term for the time during surgery that the physician provides services to the patient

answer

Intrasurgery

question

Do all 3rd party payers recognize all modifiers as listed in the CPT manual?

answer

No

question

Term that describes 2 physicians working together in the completion of a procedure when each has the same level of responsibility

answer

Co-surgeons

Medical Coding Anesthesia – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards