ANESTHESIA SAMPLE MODEL QUESTIONS - 003

                                              Anesthesia –III

1.      A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is theappropriate anesthesia code?

a.    00320,

b.      00326,

c.    00320, 99100

d.      00326, 99100

2.      A patient is having knee replacement surgery. The surgeon requests that in addition to the general anesthesia for the procedure that the anesthesiologist also insert a lumbar epidural for postoperative pain management. The anesthesiologist performs postoperative management for two postoperative days.

a.    01400-AA, 62326

b.      01402-AA, 01996 x 2

c.    01402-AA, 62326, 01996 x 2

d.      01402-AA

3.      General anesthesia is administered to a 9-month-old undergoing a tracheostomy. Code the anesthesia service.

a.    00320, 99100

b.      00320,

c.    00326,

d.      00326, 99100

4.      A 56-year-old receives general anesthesia for an open pleura biopsy. An anesthesiologist medically directing two other cases, and medically directs a CRNA on this case. What are the appropriate codes for both providers?

a.    00540-AA, 00540-QZ

b.      00540-QK, 00540-QY

c.    00541-AA, 00540-QZ

d.      00541-QK, 00541-QX

5.      Patient is admitted in labor for delivery. She received a labor neuraxial epidural for a vaginal delivery.The baby goes into fetal distress and a cesarean section is performed. Following delivery the patient startsto hemorrhage. The physician decides, with family approval, to perform a hysterectomy. Code theanesthesia services.

a.    01967, 00840

b.      01962,

c.    01968,

d.      01967, 01969

6.      A 6-month-old patient is administered general anesthesia to repair a cleft palate. What anesthesia code(s) should be used for this procedure?

a.    00170, 99100

b.      00172,

c.    00172, 99100

d.      00176

7.      Which service is not included with anesthesia services?

a.       Swan-Ganz monitoring

b.      Administration of blood

c.       Blood pressure

d.      Mass spectrometry

8.      A surgeon performed a cervical approach esophagoplasty with repair of a tracheosophageal fistula under general anesthesia. The surgeon performed both the procedure and the anesthesia. How would you report these services?

a.       00500, 43305

b.      43305-47

c.       00500-47

d.      Both A and C

9.      An anesthesiologist provided general anesthesia for open repair of a fractured pelvis column involving the acetabulum for a 74-year-old patient. Further documentation for this patient includes severe hypertension and uncontrolled diabetes. How should the anesthesiologist report her services?

a.      01173-P3, 99100

b.      27226, 01210-P3, 99100

c.       01210-P4, 99100-51

d.      01170-P4

10. If the anesthesia service were provided to a patient who had severe systemic disease, what would the physical status modifier be?

  

a.   P1

b.      P2

c.    P3

d.      P4

11. The anesthesiologist performed MAC (monitored anesthesia care) for a patient undergoing anarthroscopy of the right knee. Code the anesthesia service.

a.    01382-AA

b.      01382-AA-QS

c.    01400-AA

d.      01400-AA-QS

12. A healthy 32-year-old with a closed distal radius fracture received monitored anesthesia care for anORIF of the distal radius. What is the code for the anesthesia service?

a.   01830-P1

b.      01860-QS-P1

c.    01830-QS-P1

d.      01860-QS-G9-P1

13. A patient undergoing a cervical surgery received general anesthesia for a procedure performed in a sitting position. The patient is 54 years old and healthy, aside from the current cervical problem. How should the anesthesiologist report his services?

a.      00604,

b.      00600-P1

c.       00604-P1

d.      00620

14. A 50-year-old female had a left subcutaneous mastectomy for cancer. She now returns forreconstruction which is done with a single TRAM flap. Right mastopexy is done for asymmetry. Code theanesthesia for this procedure.

a.    00404,

b.      00402,

c.    00406,

d.      00400,

15. A patient was placed under general anesthesia to have a simple incision and removal of a foreign body from the subcutaneous tissue. This procedure usually requires local anesthesia. Due to unusual circumstances, which required general anesthesia, what modifier would best describe this situation?

a.   47

b.     22

c.    23

d.      P6

16.  Angiograms reveal three artery blockages. The patient has COPD, which is a severe systemic disease. The patient undergoes a CABG X 3 venous grafts on cardiopulmonary bypass and cell saver. Code the anesthesia service.

a.    00562-P3

b.      00560-P4

c.    00567-P3

d.      00566-P4

17. What qualifying circumstances code would be used to identify the administration of anesthesia that is complicated by an emergency condition?

a.   99100

b.      99116

c.    99135

d.      99140

18.  Intra-arterial, central venous and Swan-Ganz are considered:

a.      Included items with anesthesia services

b.      Unlisted Procedure Codes

c.       Unusual forms of monitoring

d.      Procedures performed during local anesthesia only

19. Anesthesia service includes the following care:

a.   Preoperative, intraoperative

b.      Preoperative, intraoperative, postoperative

c.    Intraoperative, postoperative

d.      Preoperative, postoperative

20. Which HCPCS modifier indicates an anesthesia service in which the anesthesiologist medically directsone CRNA?

a.   QX

b.      QY

c.    QZ

d.      QK

21. PREOPERATIVE DIAGNOSIS: Multivessel coronary artery disease. POSTOPERATIVE DIAGNOSIS: Multivessel coronary artery disease. NAME OF PROCEDURE: Coronary artery bypass graft x 3, left internal mammary artery to the LAD, saphenous vein graft to the obtuse marginal, saphenous vein graft to the diagonal. The patient is placed on heart and lung bypass during the procedure. Anesthesia time: 6:00 PM to 12:00 AM Surgical time: 6:15 PM to 11:30 PM What is the correct anesthesia code and anesthesia time?

a.    00567, 6 hours

b.      00566, 6 hours

c.    00567, 5 hours and 30 minutes

d.      00566, 5 hours and 30 minutes

22. This type of anesthesia is also known as a nerve block.

a.   Local

b.      Epidural

c.    Regional

d.      MAC

23. Mrs. Jones is a 90 year-old female having laparoscopic surgery on her gallbladder. Dr. Lot, the anesthesiologist for this case, documents she is a normal healthy person and begins to prepare the patient for surgery at 07:30 am. Surgery begins at 08:00 am. The surgery is concluded at 09:30 am. The anesthesiologist releases the patient to the PACU nurses at 09:45 am.  How many minutes of anesthesia time transpired and what is the appropriate anesthesia code?

a)      1 hr. 30 minutes, 00700-P1, 99100

b)     2 hrs. 15 minutes, 00790-P1, 99100

c)      2 hrs. 15 minutes, 00700-P1, 99100

d)     1 hr. 30 minutes, 00840-P1, 99100

24. A 98-year-old Medicare patient diagnosed with prostate cancer is seen in the OR for a retropubic radical prostatectomy. What are the correct procedure, anesthesia, and diagnosis codes for this scenario?

a.      55831, 00865, 99100, C61

b.      55831, 00865, D49.519

c.       55840, 00865, 99100, D49.519

d.      55840, 00865, 99100, C61

25. An 8 month-old has a simple Fontan procedure to repair his tricuspid atresia. During the procedure, the heart-lung machine is used.  What are the correct CPT® and ICD-10-CM codes for this anesthesia service?

a)      00561, 99100, Q22.4

b)     00562, 99100, Q21.0

c)      00561, Q22.4

d)     00561, 99100, 99116, Q22.3

26. Mr. Johnson, age 82, having been in poor health with diabetes and associated peripheral neuropathy, is having a fem-pop bypass. The anesthesiologist documents he has severe systemic disease. What code(s) is/are correct for anesthesia?

a)      01270-P3, 99100

b)     01272-P3

c)      01260-P2, 99100

d)     01272-P2, 99100

27. A very large lipoma is removed from the chest measuring 8 sq cm and the defect is 12.2 cm requiringa layered closure with extensive undermining. MAC is performed by a medically directed CertifiedRegistered Nurse Anesthetist (CRNA). Code the anesthesia service.

a.   00400-QS-QX

b.      00400-QS

c.    00300-QS

d.      00300-QS-QX

28. What is the anesthesia code for a tubal ligation?

a.      00846

b.      00844

c.       00840

d.      00851