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Types of anesthesia Flashcards

1
Q

anesthesia

A

induction or administration of a drug to obtain partial or complete loss of sensation

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2
Q

analgesia

A

absence of pain

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3
Q

types of anesthesia are

A

general, regional, local, or monitored anesthesia care (MAC)

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4
Q

moderate (conscious) sedation is reported with what

A

not reported with anesthesia codes but rather is reported with medicine codes

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5
Q

ASA stands for

A

american society of anesthesiologists

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6
Q

endotracheal

A

insertion of a tube nto the nose or mouth - passing the tube into the trachea for ventilation

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7
Q

epidural

A

injection of an anesthetic agent into the epidural spaces b/t the vertebrae, also known as peridural, or epidural block

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8
Q

spinal or intraspinal

A

an injection of local anesthetic into the subarachnoid space around the spinal cord

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9
Q

general

A

state of unconsciousness that is accomplished by the use of a drug or combination of drugs administered IM, rectally, IV or by INH

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10
Q

regional

A

interrupts the sensory nerve conductivity in a region of the obdy and is produced by a field block-forming a wall of anesthesia around the site by means of local injections

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11
Q

local

A

accomplished by means of application of an anesthetic agent placed directly on the area involved

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12
Q

EBP - epidural blood patch

A

when a cerebrospinal fluid leak is closed by means of an injection of the pts blood into the epidural space at or near the area of the dural puncture that was accessed during spinal anesthesia

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13
Q

pt controlled analgesia (PCA)

A

system that allows the pt to administer an analgesic drug such as morphine to control pain-device is attached to a pump

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14
Q

monitored anesthesia care (MAC)

A

pt is monitored, and if necessary, sedation is provided, even general anesthesia

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15
Q

MAC are provided by who

A

an anesthesiologist or CRNA

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16
Q

general anesthesia

A

used for cases that requires deep sedation, such as open heart surgery or complicated abdominal surgery

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17
Q

regional anesthesia

A

uses injection to target the nerves of the area being treated

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18
Q

spinal and epidural anesthesia

A

administered into the cerebral spinal fluid or epidural area of the spine that corresponds with the area being treated, generally used for procedures below the waist

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19
Q

moderate conscious sedation

A

provided by surgeon or surgeons staff while the surgeon is performing a procedure-decreased level of consciousness that does not put the pt completely to sleep

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20
Q

intraservice (moderate conscious sedation)

A

time begins with the adminstration of the sedation agent, requires continuous F2F attendance by the physician, and ends when the personal contact by the physician ends

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21
Q

T/F most anesthisea codes are divided 1st by anatomic site and then by specific type of procedure

A

T

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22
Q

what sections are not divided by anatomic site

A

last 4 subsections in anesthesia

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23
Q

last 4 subsections in anesthesia are

A
  • radiologic procedures 01916-01936
  • burn excision or debridement 01951-01953
  • obstetric 01958-01969
  • other procedures 01990-01999
24
Q

CRNA means

A

certified registered nurse anesthetists

25
Q

concurrent modifiers

A

an anesthesiologyis may medically direct up to 4 cases at the same time (concurrently)

26
Q

T/F additional modifers that define the types of providers involved in anesthesa are CPT modifiers

A

F - these modifiers are HCPCS modifers and further define the anesthesia services provided

27
Q

-AA

A

anesthesia services perfirmed personally by an anesthesiologist

28
Q

-AD

A

medical supervision by a physician, more that 4 concurrent anesthesia procedures

29
Q

-G8

A

monitored anesthesia care (MAC) for dep, complex, complicated, or markedly invasive surgical procedure

30
Q

-G9

A

monitored anesthesia care for pt who has a hx of severe cardiopulmonary condition

31
Q

-QK

A

medical direction of 2, 3, or four concurrent anesthesia procedures involving qualified individuals

32
Q

-QS

A

monitored anesthesia care service

33
Q

-QX

A

CRNA service, with medical direction by a physician

34
Q

-QY

A

medical direction of 1 CRNA by an anesthesiologist

35
Q

-QZ

A

CRNA service, without medical direction by a physician

36
Q

01999-unlisted anesthia code

A

when there is no CPT code to ndicate teh anesthesia services

37
Q

what type of sedation is not reported with anesthesia codes but rather reported with medicine codes

A

moderate (conscious)

38
Q

most anesthesia codes are divided by what site

A

anatomical

39
Q

formula for anesthesia services is based on what three units

A

base, time and modifying factors

40
Q

physical status modifers indicate the pts_____at the time anesthesia was administered

A

condition

41
Q

physical status modifiers

A

indicate the pts condition at the time anesthesia was administered and identify the level of complexity of the services provided to the pt

42
Q

P1

A

normal healthy pt

43
Q

P2

A

pt with mild systemic dz

44
Q

P3

A

pt with severe systemic dz

45
Q

P4

A

pt with sever systemic dz that is a constant threat to life

46
Q

P5

A

moribund pt who is not expected to survive without the operation

47
Q

P6

A

declared brain dead pt whose organs are being removed for donor purposes

48
Q

Swan-Ganz catheter-not a normal service provided during a surgery CPT code is

A

93503 - some payers will require modifier -59 (distinct procedural service) be appended to the catheter code if another central line is also placed.

49
Q

formula for anesthesia payment is

A

B + T + M

50
Q

B is for

A

base unit - numerical values to each service

example: 01462 anesthesia for all closed procedures on lower leg, ankle, and foot…..3 + TM

51
Q

T is for

A

time - time during which the anesthesia was administered and calculated, in total minutes

52
Q

time for anesthesia starts when

A

anesthesiologist begins preparing thept to receive anesthesia nad is in constant attendance with pt, continues through the procedure, and ends when the pt is turned over to the post-anesthesia caregivers

53
Q

a unit of time is considered

A

15 min. equal a unit, for some carriers, 1, 10, or 30 min equals a unit

54
Q

Medicare determines time how

A

time units are computed by dividing the reported actual anesthesia service time by 15 min and then rounding to one dicimal place

55
Q

M is for

A

modifying unit - circumstances or ocnditions that change or modify the environment in which the anesthesia service is provided

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