CPC Chapter 16- Anesthesia Review

Question 1

Procedures commonly carried out in addition to the primary procedure performed. Codes may not be reported alone and are identified with a + sign

Answer 1

Add-on Codes

Question 2

Begins when the anesthesiologist begins to prepare the patient for the induction of anesthesia and ends when the anesthesiologist is no longer in personal attendance

Answer 2

Anesthesia Time

Question 3

A catheter inserted into an artery. It is used most commonly to measure real-time blood pressure and to obtain samples for arterial blood gas

Answer 3

Arterial Line

Question 4

Value assigned to anesthesia codes for anesthetic management of surgery and diagnostic tests. will vary depending on the difficulty of the surgery or dignostic tests, and the management of anesthesia

Answer 4

Base Line Value

Question 5

A technique used to take over temporarily the function of the heart and lungs

Answer 5

Cardiopulmonary Bypass (CPB)

Question 6

A catheter placed in a large vein such as the internal jugular, subclavian, or femoral vein with the tip of the catheter close to the atrium, or in the right atrium of the heart

Answer 6

Central Venous Catheter

Question 7

Technique used in general anesthesia to reduce blood pressure to control bleeding during surgery. Watch anesthesia record for notes regarding deliberate or controlled hypotension

Answer 7

Controlled Hypotension

Question 8

A unit multiplier used to convert anesthesia units into a dollar amount for anesthesia services. Are reviewed annually boy CMS and vary geographically. Also may be negotiated with insurance companies

Answer 8

Conversion Factor

Question 9

Direct measurement of the blood pressure in the right atrium and vena cava. Reflets the amount of blood returning to the heart and the ability of the heart to pump the blood from the right heart into the pulmonary system

Answer 9

Central Venous Pressure (CVP)

Question 10

Based on the physician fee schedule. Payments are made under the Relative Value Unit, rather than by Conversion Factor. Time is not a consideration for payment. Examples are arterial lines, CV line, emergency intubation, and Swan-Ganz catheter insertion

Answer 10

Flat Fee

Question 11

Implies a temperature of 20 degrees centigrade or less

Answer 11

Hypothermic Circulatory Arrest

Question 12

Occurs when an anesthesiologist is involved in two, three, or four concurrent anesthesia procedures, or a single anesthesia procedure with a qualified anesthetist. CMS and other carriers publish criteria to be met to report medical direction

Answer 12

Medical Direction

Question 13

Occurs when an anesthesiologist is involved in five or more concurrent anesthesia procedures or fails to meet required medical direction criteria

Answer 13

Medical Supervision

Question 14

Refers to a technique for many surgical procedures that do not require deep sedation or general anesthetic. Anesthesia provider must be prepared to convert to general anesthesia, if necessary

Answer 14

Monitored Anesthesia Care (MAC)

Question 15

A flow directed catheter inserted into the pulmonary artery. Are used to measure pressures and flows within the cardiovascular system

Answer 15

Pulmonary Artery Catheter (for example, Swan-Gans) (PAC)

Question 16

Modifier used to report the physical status assigned to each patient undergoing anesthesia. Patients are ranked by their individual health status. The anesthesia provider must assign the physical status

Answer 16

Physical Status Modifier

Question 17

Term used when a cardiopulmonary bypass (CPB) machine is used to function as the heart and lungs during heart surgery

Answer 17

Pump Oxygenator

Question 18

Circumstances significantly affecting the character of an anesthesia service. These add-on procedures may be reported only with anesthesia codes. More than one may be reported, if applicable. May not be reported separately when a code descriptor already indicates the circumstance. Do not use modifiers for Medicare Beneficiaries

Answer 18

Qualifying Circumstances

Question 19

A unit measure used to assign a value to services. It is determined by assigning weight to factors such as physician work, practice expense and malpractice expense

Answer 19

Relative Value Unit