Deck 23: CPT Anesthesia Section

Question 1

What add-on code is used to report qualifying circumstances for a person whose anesthesia is complicated by controlled hypotension?

A) 99140
B) 99135
C) 99116

Answer 1

B

Question 2

A 42-year-old female with mild systemic disease had a vaginal hysterectomy for fibroids. What code should be used for anesthesia services?

A) 00940-P1
B) 00944-P2
C) 00942-P1
D) 00952-P2

Answer 2

B

Question 3

One time unit in anesthesia is usually measured in ________ increments.

A) 30-minute
B) 60-minute
C) 15-minute
D) 45-minute

Answer 3

C

Question 4

General anesthesia is also known as:

A) local anesthesia.
B) surgical anesthesia.
C) topical anesthesia.
D) regional blocks.

Question 5

Which HCPCS Level II modifier is used for CRNA service without medical direction by a physician?

A) QS
B) QY
C) QZ
D) QX

Question 6

Moderate (conscious) sedation codes are divided by each of the following categories except:

A) severity of illness.
B) time.
C) age.
D) the type of physician performing the service.

Question 7

How is topical anesthesia administered?

A) Injection into the muscle
B) Injection into the tendon
C) Applied to the skin
D) Injection into the nerve

Question 8

Sue Alston, a healthy 46-year-old female, has been suffering from neck pain. Sue underwent a cervical spine manipulation today and tolerated the procedure well. What is the appropriate anesthesia code for this procedure?

A) 00640-P3
B) 00635-P2
C) 00640-P1
D) 00670-P1

Question 9

Johnny, a 3-year-old male, required 60 minutes of moderate conscious sedation for a CAT scan of the brain due to seizures. What are the appropriate sedation codes to report?

A) 99155, 99157
B) 99151, 99153
C) 99155, 99157x3
D) 99151, 99153x3

Question 10

A healthy 6-year-old sustained third-degree burns over 20 percent of his total body surface after knocking over a pot of boiling water. His skin was debrided without grafting. What are the appropriate codes for the anesthesiologist to report?

A) 01952-P1, 01953, 01953
B) 01951-P2, 01953
C) 01952-P2, 01953, 01953
D) 01951-P1, 01953, 01953

Question 11

A normal healthy 56-year-old female had surgery for total knee arthroplasty. What anesthesia code should be used for this service?

A) 01402-P1
B) 01214-P1
C) 01214-P2
D) 01402-P2

Question 12

Which of the following does not describe a function of anesthesia?

A) To use pharmaceuticals to render the patient pain-free
B) To use antibiotics to render the patient pain-free
C) To suppress nerve sensation
D) To relieve or prevent the feeling of pain

Question 13

What HCPCS Level II modifier is used for monitored anesthesia care for deep complex, complicated, or markedly invasive surgical procedures?

A) G8
B) G9
C) QK
D) QX

Question 14

What HCPCS Level II modifier is used for anesthesia services performed personally by the anesthesiologist?

A) AD
B) AA
C) QY
D) QX

Question 15

An 81-year-old male came in to have a permanent transvenous pacemaker inserted and has a mild systemic disease. What are the appropriate codes you should report for the anesthesiologist?

A) 00530-P3, 99100
B) 00534-P2, 99100
C) 00530-P2, 99100
D) 00534-P3, 99100

Question 16

What physical status modifier would be used for a brain-dead patient whose organs are being removed for donor purposes?

A) P6
B) P5
C) P3
D) P4

Question 17

Bobby Platz, a healthy 13-year-old male, is brought to the OR for an open repair of the upper end of his tibia. Lynn Smith, a CRNA, administers the anesthesia with medical direction by Dr. Prater, an anesthesiologist. What is the correct anesthesia code for this procedure?

A) 01390-P1-QX
B) 01392-P1-QS
C) 01390-P1-QZ
D) 01392-P1-QX

Question 18

Janie Watson, a 22-year-old female, was in a car accident and brought to the ER by ambulance. Janie is laboring to breathe. A CT scan confirmed a tracheal rupture. Dr. Kirby noted that Janie is not expected to live without surgery. Dr. Pittman administered the anesthesia for Dr. Kirby, who performed a tracheobronchial reconstruction. What is the correct anesthesia code for this procedure?

A) 00326-P5
B) 00320-P4
C) 00539-P5
D) 00540-P4

Question 19

What HCPCS Level II modifier is used for medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals?

A) QK
B) QS
C) QY
D) QZ

Question 20

A 26-year-old normal healthy male patient came in for kidney stones and had a lithotripsy, extracorporeal shock wave, without water bath. What code should be used for anesthesia services?

A) 00873-P1
B) 00864-P1
C) 00872-P1
D) 00866-P1

Question 21

Sally Benton, a 47-year-old female, presents to Dr. Johnston's office today for a comprehensive eye exam. Sally has been diagnosed with Alzheimer disease and become combative during the examination. Dr. Johnston provided 25 minutes of moderate sedation to calm Sally, the nurse monitored Sally's vital signs during the procedure. The moderate sedation code(s) would be

A) 99151, 99153
B) 99152
C) 99153
D) 99152, 99153

Question 22

A 36-year-old normal healthy female experienced abnormal vaginal bleeding and was confirmed by workup to have a missed abortion. She was taken to the surgical suite for a D&C. What anesthesia code would be used for this service?

A) 01962-P1
B) 01963-P1
C) 01966-P1
D) 01965-P1

Question 23

The injection of a drug to prevent sensation in a specific portion of the body is known as a:

A) topical anesthetic.
B) local anesthetic.
C) regional anesthetic.
D) general anesthetic.

Question 24

How are MAC services coded?

A) Always with modifier 47
B) Always from the medicine section of CPT
C) Always from the anesthesia section of CPT
D) Always with modifier P1

Question 25

Conscious sedation administered and monitored by an anesthesiologist is called:

A) monitored anesthesia care.
B) moderate anesthesiologist catalyst.
C) medium anesthetic care.
D) monitoring anesthesiologist care.

Question 26

The terms axillary, bier, and retrobulbar describe types of:

A) topical anesthetic.
B) local anesthetic.
C) regional anesthetic.
D) general anesthetic.

Question 27

Which of the following is not a type of anesthesia?

A) Topical
B) Brand
C) Regional
D) General

Question 28

All anesthesia codes must include:

A) the modifier AA.
B) a physical status modifier.
C) a qualifying circumstance code.
D) the modifier 25.

Question 29

Ernest Kelly, a 66-year-old male, injured his hand while working in his garden. His wife, Loraine, brought him to the ER. After an x-ray, Ernest was diagnosed with a carpometacarpal dislocation of the thumb. As Dr. McElroy began to manipulate the dislocation, Ernest became agitated and fearful. Loraine explained that her husband was diagnosed with dementia a year ago. Dr. McElroy believes general anesthesia would be appropriate for this procedure to ensure the patient's safety. What is the correct code to report for this procedure?

A) 26641
B) 26641-22
C) 26641-23
D) 26641-52

Question 30

What is a form of ultralight general anesthesia that reduces stress?

A) Local infiltration
B) Conscious block
C) Antibiotics
D) Moderate sedation

Question 31

A normal, healthy 7-year-old male is taken to the surgical suite for repair of his cleft lip. What anesthesia codes should be used for this service?

A) 00103-P1
B) 00102-P1
C) 00120-P1
D) 00140-P1

Question 32

Sam Jones, a healthy 44-year-old male, went skiing and fell, injuring his leg. Sam lay in the snow for hours before being rescued. When Sam arrived by ambulance at the nearest ER, he was diagnosed with an open ankle fracture and total body hypothermia. Sam was taken to the OR for surgical repair of the fracture. What are the appropriate codes you should report for the anesthesiologist?

A) 01480-P1, 99116
B) 01480-P2, 99135
C) 01486-P1, 99116
D) 00486-P2, 99100

Question 33

A 67-year-old male patient with severe systemic disease was taken to the surgical suite for a pars plana approach vitrectomy. What is the appropriate code to use for anesthesia services?

A) 00140-P3
B) 00145-P3
C) 00145-P2
D) 00147-P3

Question 34

Types of regional anesthesia include:

A) infiltration anesthesia.
B) pudendal blocks.
C) nerve blocks.
D) digital blocks.

Question 35

How many physical status modifiers are there in the CPT book?

A) 5
B) 6
C) 7
D) 8

Question 36

Anesthesia codes are determined by the:

A) location of service.
B) type of general anesthesia.
C) anatomical site of the procedure.
D) age of the patient.

Question 37

If conscious sedation is administered by the physician performing the procedure, use a code from:

A) 99148-99150.
B) 00100-01999.
C) 00100-01999 with modifier 47.
D) 99151-99153.

Question 38

What does MAC require?

A) The elimination of pain sensation
B) That the patient be conscious
C) The presence of a trained anesthesiologist
D) That the patient be rendered unconscious

Question 39

Modifier 47 reports that anesthesia was administered by:

A) the surgeon performing the procedure.
B) an anesthesiologist.
C) a certified registered nurse anesthetist.
D) all of these.

Question 40

General anesthesia can be administered by all except:

A) absorption.
B) inhalation.
C) intravenous injection.
D) intramuscular injection.

Question 41

Susan Blanding, a 74-year-old female, was taken to the OR for a hip disarticulation. Susan also has a severe systemic disease. What are the appropriate codes you should report for the anesthesiologist?

A) 01212-P3, 99135
B) 01210-P2, 99100
C) 01212-P3, 99100
D) 01214-P3, 99116

Question 42

Moderate sedation is also known as:

A) minimal sedation.
B) conscious sedation.
C) deep sedation.
D) monitored anesthesia care.

Question 43

What is the similarity between code 99151 and code 99152?

A) The initial time reported
B) Different physician performing the service
C) The age of the patient
D) Reporting additional time

Question 44

What is the difference between code 99151 and code 99155?

A) The length of time
B) The physician performing the service
C) The age of the patient
D) None of these

Question 45

Which of the following would be considered usual monitoring services during a surgical procedure?

A) ECG
B) BP
C) Temperature
D) All of these

Question 46

Fred Brown, a 36-year-old male, has been diagnosed with hypertension and morbid obesity. Fred has agreed to a gastric restrictive procedure and was taken to the OR, where Dr. Lastor administers the anesthesia so Dr. Dickerson can perform the vertical banded gastroplasty (VBG) procedures. What is the correct anesthesia code?

A) 00797-P1
B) 00797-P2
C) 00790-P1
D) 00797-P3

Question 47

A 6-month-old patient receiving general anesthesia will require the add-on code:

A) 99100.
B) 99116.
C) 99135.
D) 99140.

Question 48

What is the difference between code 99151 and code 99152?

A) The length of time
B) The physician performing the service
C) The age of the patient
D) There is no difference

Question 49

All of the following services are included in the anesthesia coding package except:

A) usual preoperative visits.
B) anesthesia care during the procedure.
C) administration of fluids.
D) All of these are included in the anesthesia coding package

Question 50

When using time reporting, when does anesthesia time begin?

A) When the case is assigned to the anesthesiologist
B) During the preoperative visit
C) During the preparation for the administration of the anesthesia
D) When the surgeon begins the procedure

Question 51

What type of anesthesia administration can modifier 47 be used for?

A) Local anesthesia
B) Regional anesthesia
C) Topical anesthesia
D) Monitored anesthesia care