CH.6 Review Flashcards
The removal of a flexible tube previously placed in the trachea for airway management.
EXTUBATION
Units of value that are the first component of the formula for assigning a cost-revenue value to an anesthesia service.
BASE UNIT
Without sensation or loss of sensation, partial or complete.
ANESTHESIA
Component of the reimbursement formula that begins when the patient is being prepared for anesthesia and ends when the patient is no longer being attended by the anesthesiologist.
TIME
Used with all anesthesia procedure codes to rank the physical condition of the patient.
PHYSICAL-STATUS MODIFIERS
A provider of anesthesia care other than a physician.
CRNA
Refers to physician involvement with and direction of anesthesia that is carried out by a qualified provider.
MEDICAL DIRECTION
As it applies to anesthesia services, which of the following terms describes physician involvement with and direction of anesthesia that is carried out by a qualified provider?
MEDICAL DIRECTION
The correct modifier to report for monitored anesthesia care (MAC) for a patient who has a history of severe cardiopulmonary condition is:
G9
A 72-year-old normal, healthy patient presents to the operating room for a corneal transplant. The anesthesiologist administers general anesthesia. Choose the appropriate codes the anesthesiologist would report:
00144
P1
99100
An 8-month-old boy was transported to the ED after being involved in an automobile accident. He required emergency surgery for an injury to the larynx and trachea. The general anesthesia was administered by the anesthesiologist. Choose the appropriate codes:
00326
P1
99140
Choose the appropriate description of when time begins and ends for anesthesia procedures:
Time begins when the anesthesiologist begins to prepare the patient for the induction of anesthesia, and it ends when the anesthesiologist is no longer in personal attendance.
CASE 1 (CPT Coding for Anesthesia Services Only)
The patient presents for anesthesia for an open appendectomy needed for acute appendicitis (Base Units 6). The patient is 19 and otherwise in good health. Under the medical direction of Dr. Thames, the anesthesiologist, the CRNA begins to prepare the patient for induction of endotracheal anesthesia at 7:45 a.m. The procedure is performed without incident, and the patient is released to PACU at 9:05 a.m.
What is the correct CPT code for this anesthesia service?
00840
CASE 1 (ICD-10-CM Coding)
The patient presents for anesthesia for an open appendectomy needed for acute appendicitis (Base Units 6). The patient is 19 and otherwise in good health. Under the medical direction of Dr. Thames, the anesthesiologist, the CRNA begins to prepare the patient for induction of endotracheal anesthesia at 7:45 a.m. The procedure is performed without incident, and the patient is released to PACU at 9:05 a.m.
What is the correct ICD-10-CM code for this anesthesia service?
K35.80
CASE 2 (CPT Coding for Anesthesia Services Only)
Following Dr. Thames’s anesthesiologist-prescribed plan for a patient with type 2 diabetes mellitus not well controlled, the CRNA intubates the patient at 8:58 a.m. The surgeon performs an excision of a benign tumor on the left olecranon process (Base Units 4). At 10:18 a.m. the patient is extubated and sent to the PACU.
Note: All anesthesia services are performed on the same day by Thames Anesthesiology Group, which provides services at General Medical Hospital.
What is the correct CPT code for this anesthesia service?
01740
CASE 2 (ICD-10-CM Coding)
Following Dr. Thames’s anesthesiologist-prescribed plan for a patient with type 2 diabetes mellitus not well controlled, the CRNA intubates the patient at 8:58 a.m. The surgeon performs an excision of a benign tumor on the left olecranon process (Base Units 4). At 10:18 a.m. the patient is extubated and sent to the PACU.
Note: All anesthesia services are performed on the same day by Thames Anesthesiology Group, which provides services at General Medical Hospital.
What are the correct ICD-10-CM codes for this anesthesia service?
D16.02
E11.65
CASE 4 (CPT Coding for Anesthesia Services Only)
Arthroplasty right hip
Primary OA of right hip
After satisfactory anesthesia by Dr. Thames, the surgeon completed the arthroplasty of the right hip of the 72-year-old male. Patient comorbidities include well-controlled type 2 DM and benign hypertension. Both the head of the femur at the greater trochanter and the acetabulum were replaced during this procedure (Base Units 8). Induction of the patient began at 11:02 a.m., and the patient was extubated and sent to postanesthesia recovery at 1:48 p.m.
Note: All anesthesia services are performed on the same day by Thames Anesthesiology Group, which provides services at General Medical Hospital.
What is (are) the correct CPT code(s) for this anesthesia service?
01210
27130
CASE 4 (ICD-10-CM Coding)
Arthroplasty right hip
Primary OA of right hip
After satisfactory anesthesia by Dr. Thames, the surgeon completed the arthroplasty of the right hip of the 72-year-old male. Patient comorbidities include well-controlled type 2 DM and benign hypertension. Both the head of the femur at the greater trochanter and the acetabulum were replaced during this procedure (Base Units 8). Induction of the patient began at 11:02 a.m., and the patient was extubated and sent to postanesthesia recovery at 1:48 p.m.
Note: All anesthesia services are performed on the same day by Thames Anesthesiology Group, which provides services at General Medical Hospital.
What is (are) the correct ICD-10-CM code(s) for this anesthesia service?
M16.11
E11.9
I10
CASE 5 (CPT Coding for Anesthesia Services Only)
A 6-year-old boy presents to the OR for closed reduction of a right distal ulnar spiral fracture at 3:45. Dr. Thames monitors the patient’s vital signs and respiration on room air. The total time of the procedure is 48 minutes. (Base Units 3)
Note: All anesthesia services are performed on the same day by Thames Anesthesiology Group, which provides services at General Medical Hospital.
What is the correct CPT code for this anesthesia service?
01820
CASE 5 (ICD-10-CM Coding)
A 6-year-old boy presents to the OR for closed reduction of a right distal ulnar spiral fracture at 3:45. Dr. Thames monitors the patient’s vital signs and respiration on room air. The total time of the procedure is 48 minutes. (Base Units 3)
Note: All anesthesia services are performed on the same day by Thames Anesthesiology Group, which provides services at General Medical Hospital.
What is the correct ICD-10-CM code for this anesthesia service?
S52.241A
