ANESTHESIA
– V
1. 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
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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
9. 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
10. 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
11. 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
12. 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
13. Which HCPCS modifier indicates an anesthesia
service in which the anesthesiologist medically directs one CRNA?
a. QX
b.
QY
c.
QZ
d.
QK
14. 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
15. 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
16. This type of anesthesia is also known as a
nerve block.
a. Local
b.
Epidural
c.
Regional
d.
MAC
17. 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
18. 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
19. 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
20. Which service is not included with anesthesia
services?
a.
Swan-Ganz
monitoring
b.
Administration
of blood
c.
Blood
pressure
d.
Mass
spectrometry
21. 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
22. 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
23. Anesthesia service includes the following
care:
a. Preoperative, intraoperative
b.
Preoperative,
intraoperative, postoperative
c.
Intraoperative, postoperative
d.
Preoperative,
postoperative
24. 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
25. What is the
anesthesia code for a tubal ligation?
|
a)
|
00846
|
|
|
b)
|
00844
|
|
|
c)
|
00840
|
|
|
d)
|
00851
|
26. 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
27. 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
28. 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
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