ANESTHESIA
- VI
1. 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
2. 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
3. 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
4. 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
5. 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.
6. 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
7. 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
8. 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
9. Which of the following codes are not reported
when conscious (moderate) sedation is performed in the non facility setting by
a second physician?
a.
01990-01992
b.
99100-99140
c.
99151-99153
d.
99155-99157
10. Which type of anesthesia is used to manage
postoperative pain?
a.
General
anesthesia
b.
patient-controlled
anesthesia
c.
local
block
d.
conscious
sedation
11. 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
12. This is the anesthesia formula:
a. B + M + P
b.
B + P
+ M
c. B + T
+ M
d.
B + T
+ N
13. 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
14. 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
15. 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
16. 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
17. Code for the anesthesia portion of both the
harvesting and the moribund (near-death) recipient of a liver.
a.
01990,
00796
b.
01990-P6,
00796-P5
c.
00794,
01990
d.
01990-P5, 00794-P6
18. 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
19. 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
20. Anesthesia service for a pneumocentesis for
lung aspiration, 32420.
a. 00522
b.
00500
c. 00520
d.
00524
21. 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
22. 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
23. 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
24. 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
25. 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
26. 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
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