ANESTHESIA SAMPLE MODEL QUESTIONS - 004

                                            ANESTHESIA - IV

1.      When billing anesthesia which of the different types of modifiers listed below must always be appended?

a.      Procedural change modifiers

b.      Physical status modifiers

c.       Qualifying circumstance modifiers

d.      HCPCS level II modifiers

2.      This is the anesthesia formula:

a.   B + M + P

b.      B + P + M

c.    B + T + M

d.      B + T + N

3.      A patient underwent drainage of a pelvic abscess via transvaginal approach. The patient was undermoderate sedation for the procedure, which was provided by the same operating physician. Theintraservice time was clocked at 45 minutes. How should the sedation services be reported for thisprocedure?

a.      58820, 00940

b.      00940-P2

c.       58820

d.      58820-P2

4.      A 38-week-pregnant woman presents to the hospital in labor. She is dilated four centimeters, is 50percent effaced, and wants to have the baby vaginally. The woman is given an epidural for the pain.Twenty hours later she is still only dilated to six centimeters. The physician decides that a cesareandelivery is now necessary. She is taken to the OR, given anesthesia for the cesarean, and delivers ahealthy baby boy. Which CPT code(s) should be reported for the anesthesia administered?

a.      01960,

b.      01960, 01961

c.       01967, 01968

d.      01968

5.      An anesthesiologist administers anesthesia for a male patient prior to the surgeon performing a total hip replacement. The patient is 75 years old and suffers from mild hypertension. How should you code the anesthesia services?

a.      01214, 99100-59

b.      01214-47

c.       01214-P2, 99100

d.      01214-P3

6.      Which of the following codes are not reported when conscious (moderate) sedation is performed in thenon facility setting by a second physician?

a.      01990-01992

b.      99100-99140

c.       99151-99153

d.      99155-99157

7.      Which type of anesthesia is used to manage postoperative pain?

a.      General anesthesia

b.      patient-controlled anesthesia

c.       local block

d.      conscious sedation

8.      What is the basis of the anesthesia time reporting period for multiple surgical procedures?

a.      The average of the combined anesthesia times for each procedure (e.g., the anesthesia time of four procedures added together divided by 4)

b.      The highest anesthesia time of the procedures performed (e.g., 3 procedures with respective anesthesia times of 30 minutes, 45 minutes and 72 minutes for a reporting time of 72 minutes)

c.       The combined total for all procedures (e.g., three procedures with respective anesthesia times of 45 minutes, 60 minutes and 90 minutes for a reporting time of 195 minutes)

d.      The anesthesia times for the most complex procedures performed, although the procedures may take less time than other procedures in the surgical encounter.

9.      A 42-year-old with renal pelvis cancer receives general anesthesia for a laparoscopic radical nephrectomy. The patient has controlled type II diabetes otherwise no other co-morbidities. What is the correct CPT® and ICD-10-CM code for the anesthesia services?

a.   00860-P1, C64.9, E11.9

b.      00840-P3, C65.9, E11.9

c.      00862-P2, C65.9, E11.9

d.      00868-P2, C79.00, E11.9

10.  Why should the add-on code 99100 for qualifying circumstances not be reported with the followingcodes: 00326, 00561, 00834, and 00836?

a.      Age of the patient is not a factor with any anesthesia codes or add-on codes

b.      Age of the patient as older than 70 years is part of the code; therefore, it does not require theadd-on code

c.       Age of child as older than 1 year is part of the code; therefore, it does not require the add-on code

d.      Age of child as younger than 1 year is part of the code; therefore, it does not require the add-oncode

11.  The anesthesiologist performs an axillary block for postoperative pain management. The patient receives general anesthesia for a carpal tunnel release. What are the appropriate codes?

a.    01810,

b.      01810, 64417

c.       01810, 64417-59

d.      01830, 64417-59

12. Dr. Burns, a surgeon, provided regional anesthesia and completed an exploration for postoperative hemorrhage in the neck on a 55-year-old patient with moderate cardiovascular disease. How would Dr. Burns report his services for this case?

a.      00350-P2, 35800

b.      35800-47

c.       00350-P2

d.      00350-47

13.  A healthy 11-month-old patient with bilateral cleft lip and palate undergoes surgery. The surgeon performs a bilateral cleft lip repair, single stage. Code the anesthesia service.

a.   00170-P1, 99100

b.      00102-P1

c.      00102-P1, 99100

d.      00170-P1

14. Dr. Will, an anesthesiologist, provided three days of hospital management for epidural continuous drugadministration. These services were performed after insertion of the epidural catheter. How should Dr. Willreport these days of care?

a.      01996-P1 x 3

b.      01996

c.       64999-P1

d.      64999

15. According to the anesthesia guidelines, what forms of monitoring are not included or bundled with anesthesia services?

a.      Intra-arterial

b.      Central venous

c.       Swan-Ganz

d.      All of the above

16.  A healthy 45-year-old is having a needle thyroid biopsy. The anesthesiologist begins to prepare the patient for surgery at 0900. The surgery begins at 0915 and ends at 0945. The anesthesiologist turns over the care of the patient to the recovery room nurse at 1000. What is the appropriate anesthesia code and what is the anesthesia time?

a.   00320, one hour

b.      00320, 45 minutes

c.      00322, 45 minutes

d.      00322, one hour

17. Anesthesia service for a pneumocentesis for lung aspiration, 32420.

a.   00522

b.      00500

c.      00520

d.      00524

18. When a physician reduces sensation in a specific local area of the body, what type of anesthesia doeshe or she render?

a.      Digital block

b.      Local infiltration

c.       Topical

d.      General

19.  A patient with a third-degree burn of 54% of his body is being treated under anesthesia for excision, debridement, and extensive skin grafting. The patient’s condition is listed as severe, and he is not expected to survive without the operation. The operation is further complicated by the emergency condition of the patient, and delaying this procedure could lead to loss of body parts. How should the anesthesiologist report her services with this procedure?

a.      01952-P5, 01953-P5 x 4, 99140

b.      01952-P5, 01953-P5

c.       01951, 01952, 01953 x 4

d.      01951, 01952, 01953 x 5, 99140-51

20. The patient a five month old child was rushed to the hospital for emergency repair of a strangulated,recurrent ventral hernia. Code the hernia and the anesthesia for repair.

a.      49566, 00834, 99140

b.      49566, 00832, 99140, 99100

c.       49566, 00830, 99140, 99100

d.      49566, 00834, 99140, 99100

21. Anesthesia is performed for a laryngoplasty with open reduction of fracture of a 45 day old infant.Because of the child’s age and small size, the procedure took more time than on older child.

a.      31584, 00326

b.      31584, 00326, 99100

c.       31584, 00326-22

d.      31584, 00320, 99100

22.  Which of the following three anesthesia types are considered “regional” anesthesia? (Choose three)

a.      Nerve root injections

b.      Caudals

c.       CPC code 00102

d.      Bier blocks

23. Using anesthesia procedure codes (00100-01999), code general anesthesia for repair of a ruptured aortic aneurysm graft. The patient was noted to have severe systemic disease at the time of anesthesia, and a pump oxygenator was used during the procedure.

a.      00566-P3

b.      00563-P3

c.       00562-P3

d.      00563 –P2

24. Code for the anesthesia portion of both the harvesting and the moribund (near-death) recipient of aliver.

a.      01990, 00796

b.      01990-P6, 00796-P5

c.       00794, 01990

d.      01990-P5, 00794-P6

25. Report the appropriate anesthesia code for an obstetric patient who had a planned general anesthesia for cesarean hysterectomy.

a)      01969

b)     01967

c)      01963

d)     01962

26. A cardiologist performs a pacemaker insertion with transvenous electrodes into the patient’s rightatrium and ventricle in an ambulatory surgery center. The patient is a 50-year-old male with severecoronary artery disease. A different physician administers moderate sedation for this procedure. Theintraservice time was 45 minutes. What are the correct CPT code(s) reported by the physicianadministering the anesthesia?

a.      99156-P3, 99157-P3

b.      33208, 99156-P3, 99157-P3

c.       Not separately reported

d.      99156, 99157