Anesthesia
WHAT IS ANESTHESIA ?
Anesthesia is the use of medicine to prevent the feeling of pain or another sensation during surgery or other procedures that might be painful. keep you as comfortable as possible before, during, and after surgery.
KEY NOTES
1. Anesthesia modifiers
2. Check whether anesthesia given by anesthesiologist or surgeon.
3.Age and Health status modifiers.
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Anesthesia
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Question 1 |
Karena is a 77-year-old patient with a severe hypertensive disease. She underwent a cataract surgery to both eyes under general anesthesia. Dr.Sharma, the
anesthesiologist, performed the anesthesia. Prior to induction of anesthesia Dr.Sharma completed a preoperative visit and documented a detailed history, detailed
examination, and low complexity decision-making on this new patient. How would
you report Dr. Sharma’s services?
A | 99203, 00142-P2, 99100 |
B | 66820, 00144 |
C | 00140-P1, 99116-59 |
D | 00142-P3, 99100 |
Question 1 Explanation:
According to the Anesthesia Guidelines in the CPT Professional
Edition, the preoperative visit is “bundled” or included in the anesthesia services As per question -code fro only Anesthesiologist.
Question 2 |
"When reporting for an anesthesia service using CPT codes (00100-01999), which service is not considered inherently included?"
A | Administration of blood |
B | Electrocardiogram |
C | Capnography |
D | Central venous catheter |
Question 2 Explanation:
You can get this from the CPT anesthesia guidlines,which is a
exclude procedure in Anesthesia
Question 3 |
A surgeon performed a cervical approach esophagoplasty with repair of a tracheosophageal fistula under general anesthesia. The surgeon performed both the
procedure and the anesthesia. How would you report these services?
A | 00500, 43305 |
B | 43305-47 |
C | 00500-47 |
D | Both A and C |
Question 3 Explanation:
According to the Anesthesia Guidelines in the CPT Professional Edition, “To report regional or general anesthesia provided by a physician also performing the services for which the anesthesia is being provided, see modifier -47 in Appendix A.” Appendix A describes the use of modifier -47 for a basic service when the anesthesia is provided by the surgeon.
Question 4 |
An anesthesiologist provides general anesthesia for a 75-year-old patient with mild systemic disease who is undergoing a ventral hernia repair. How would you
report the anesthesia service?
A | 00834-P2, 99100 |
B | 00832-P2, 99100 |
C | 49560, 00834, 91000-P2 |
D | 00832 |
Question 4 Explanation:
You should report the anesthesia services with modifier -P2 for mild systemic disease and qualifying circumstances due to the patient’s age.
Question 5 |
Which service is not included with anesthesia services?
A | Swan-Ganz monitoring |
B | Administration of blood |
C | Blood pressure |
D | Mass spectrometry |
Question 5 Explanation:
According to the Anesthesia Guidelines in the CPT Professional Edition, Swan-Ganz monitoring is not included.
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