module 16 Flashcards
What intraperitoneal organs are found in the lower abdomen?
There are 4
Appendix, cecum, ileum, sigmoid colon
What physical status modifier best describes a patient who has a severe systemic disease that is a constant threat to life
p4
What modifier is used for medically-directed CRNA services?
qx
What time is used to report the start of anesthesia time?
When the anesthesiologist begins to prepare the patient for anesthesia
A 74-year-old patient is undergoing surgery under monitored anesthesia care (MAC). The surgeon has determined the procedure will be markedly invasive. What modifier(s) is/are appropriate for Medicare?
g8
Code 00940 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified has a base value of three (3) units. The patient was admitted under emergency circumstances, qualifying circumstance code 99140, which allows two (2) extra base units. A preanesthesia assessment was performed and signed at 2:00 a.m. PS 4 was assigned by the anesthesiologist. Anesthesia start time is reported as 2:21 am, and the surgery began at 2:28 am. The surgery finished at 3:25 am and the patient was turned over to PACU at 3:36 am, which was reported as the ending anesthesia time. Using fifteen-minute time increments and a conversion factor of $100, what is the correct anesthesia charge?
1,200.00
Code 00350 Anesthesia for procedures on major vessels of the neck; not otherwise specified has a base value of ten (10) units. The patient is physical status P3, which allows one (1) extra base unit. Anesthesia start time is reported as 11:02 am, and the surgery began at 11:14 am. The surgery finished at 12:34 pm and the patient was turned over to PACU at 12:47 pm, which was reported as the ending anesthesia time. Using fifteen-minute time increments and a conversion factor of $100, what is the correct anesthesia charge?
1,800.00
A CRNA is personally performing a case with medical direction from an anesthesiologist. What modifier is reported for the CRNA services?
qx
What are the three classifications of anesthesia?
General, regional, and monitored anesthesia Care
An anesthesiologist is medically supervising six cases. What modifier is reported for the CRNA’s medically directed service?
qx
An anesthesiologist is medically supervising six cases concurrently. What modifier is reported for the anesthesiologist’s service?
AD
Anesthesia start time is reported as 7:14 am, and the surgery began at 7:26 am. The surgery finished at 8:18 am and the patient was turned over to PACU at 8:29 am, which was reported as the ending anesthesia time. What is the anesthesia time reported?
7:14 am to 8:29 am (75 minutes)
Rationale: Per Anesthesia Guidelines in the CPT® codebook under the subheading Time Reporting: Anesthesia time begins when the anesthesiologist begins to prepare the patient for anesthesia in the operating room (or an equivalent area) and ends when the anesthesiologist is no longer in personal attendance, that is, when the patient may be safely placed under postoperative supervision. Anesthesia start time (7:14) and anesthesia end time (8:29) calculates as 1 hour and 15 minutes or 75 minutes of total anesthesia time.
