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?
Which service is not included with anesthesia services?
A patient was placed under general anesthesia to have a simple incision and removal of a foreign body from the subcutaneous tissue. This procedure usually requires local anesthesia. Due to unusual circumstances, which required general anesthesia, what modifier would best describe this situation?
A 56-year-old receives general anesthesia for an open pleura biopsy. An anesthesiologist medically directing two other cases, and medically directs a CRNA on this case. What are the appropriate codes for both providers?
The anesthesiologist performs an axillary block for postoperative pain management. The patient receives general anesthesia for a carpal tunnel release. What are the appropriate codes?
A healthy 45-year-old is having a needle thyroid biopsy. The anesthesiologist begins to prepare the patient for surgery at 0900. The surgery begins at 0915 and ends at 0945. The anesthesiologist turns over the care of the patient to the recovery room nurse at 1000. What is the appropriate anesthesia code and what is the anesthesia time?
Patient is admitted in labor for delivery. She received a labor neuraxial epidural for a vaginal delivery. The baby goes into fetal distress and a cesarean section is performed. Following delivery the patient starts to hemorrhage. The physician decides, with family approval, to perform a hysterectomy. Code the anesthesia services.
Angiograms reveal three artery blockages. The patient has COPD, which is a severe systemic disease. The patient undergoes a CABG X 3 venous grafts on cardiopulmonary bypass and cell saver. Code the anesthesia service.
A healthy 11-month-old patient with bilateral cleft lip and palate undergoes surgery. The surgeon performs a bilateral cleft lip repair, single stage. Code the anesthesia service.
The anesthesiologist performed MAC (monitored anesthesia care) for a patient undergoing an arthroscopy of the right knee. Code the anesthesia service.
General anesthesia is administered to a 9-month-old undergoing a tracheostomy. Code the anesthesia service.
A 42-year-old with renal pelvis cancer receives general anesthesia for a laparoscopic radical nephrectomy. The patient has controlled type II diabetes otherwise no other co-morbidities. What is the correct CPT® and ICD-9-CM code for the anesthesia services?
A healthy 32-year-old with a closed distal radius fracture received monitored anesthesia care for an ORIF of the distal radius. What is the code for the anesthesia service?
A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is the appropriate anesthesia code?
A 6-month-old patient is administered general anesthesia to repair a cleft palate. What anesthesia code(s) should be used for this procedure?
A 50-year-old female had a left subcutaneous mastectomy for cancer. She now returns for reconstruction which is done with a single TRAM flap. Right mastopexy is done for asymmetry. Code the anesthesia for this procedure.
A patient is having knee replacement surgery. The surgeon requests that in addition to the general anesthesia for the procedure that the anesthesiologist also insert a lumbar epidural for postoperative pain management. The anesthesiologist performs postoperative management for two postoperative days.
A very large lipoma is removed from the chest measuring 8 sq cm and the defect is 12.2 cm requiring a layered closure with extensive undermining. MAC is performed by a medically directed Certified Registered Nurse Anesthetist (CRNA). Code the anesthesia service.
PREOPERATIVE DIAGNOSIS: Multivessel coronary artery disease. POSTOPERATIVE DIAGNOSIS: Multivessel coronary artery disease. NAME OF PROCEDURE: Coronary artery bypass graft x 3, left internal mammary artery to the LAD, saphenous vein graft to the obtuse marginal, saphenous vein graft to the diagonal. The patient is placed on heart and lung bypass during the procedure. Anesthesia time: 6:00 PM to 12:00 AM Surgical time: 6:15 PM to 11:30 PM What is the correct anesthesia code and anesthesia time?
If the anesthesia service were provided to a patient who had severe systemic disease, what would the physical status modifier be?
What qualifying circumstances code would be used to identify the administration of anesthesia that is complicated by an emergency condition?
Anesthesia service includes the following care:
The following is the anesthesia formula:
Which HCPCS modifier indicates an anesthesia service in which the anesthesiologist medically directs one CRNA?
Anesthesia service for a pneumocentesis for lung aspiration, 32420.
This type of anesthesia is also known as a nerve block.
This is the anesthesia formula:
A 98-year-old Medicare patient diagnosed with prostate cancer is seen in the OR for a retropubic radical prostatectomy. What are the correct procedure, and anesthesia codes for this scenario?
Which of the following three anesthesia types are considered “regional” anesthesia? (Choose three)
A 38-week-pregnant woman presents to the hospital in labor. She is dilated four centimeters, is 50 percent effaced, and wants to have the baby vaginally. The woman is given an epidural for the pain. Twenty hours later she is still only dilated to six centimeters. The physician decides that a cesarean delivery is now necessary. She is taken to the OR, given anesthesia for the cesarean, and delivers a healthy baby boy. Which CPT code(s) should be reported for the anesthesia administered?
Using anesthesia procedure codes (00100-01999), code general anesthesia for repair of a ruptured aortic aneurysm graft. The patient was noted to have severe systemic disease at the time of anesthesia, and a pump oxygenator was used during the procedure.
What is the basis of the anesthesia time reporting period for multiple surgical procedures?
Which of the following codes are not reported when conscious (moderate) sedation is performed in the non facility setting by a second physician?
Which type of anesthesia is used to manage postoperative pain?
A cardiologist performs a pacemaker insertion with transvenous electrodes into the patient’s right atrium and ventricle in an ambulatory surgery center. The patient is a 50-year-old male with severe coronary artery disease. A different physician administers moderate sedation for this procedure. The intraservice time was 45 minutes. What are the correct CPT code(s) reported by the physician administering the anesthesia?
An anesthesiologist provided general anesthesia for open repair of a fractured pelvis column involving the acetabulum for a 74-year-old patient. Further documentation for this patient includes severe hypertension and uncontrolled diabetes. How should the anesthesiologist report her services?
Dr. Burns, a surgeon, provided regional anesthesia and completed an exploration for postoperative hemorrhage in the neck on a 55-year-old patient with moderate cardiovascular disease. How would Dr. Burns report his services for this case?
Why should the add-on code 99100 for qualifying circumstances not be reported with the following codes: 00326, 00561, 00834, and 00836?
A patient undergoing a cervical surgery received general anesthesia for a procedure performed in a sitting position. The patient is 54 years old and healthy, aside from the current cervical problem. How should the anesthesiologist report his services?
A patient underwent drainage of a ovarian abscess via transvaginal approach. The patient was under moderate sedation for the procedure, which was provided by the same operating physician. The intraservice time was clocked at 45 minutes. How should the sedation services be reported for this procedure?
According to the anesthesia guidelines, what forms of monitoring are not included or bundled with anesthesia services?
Dr. Will, an anesthesiologist, provided three days of hospital management for epidural continuous drug administration. These services were performed after insertion of the epidural catheter. How should Dr. Will report these days of care?
A patient with a third-degree burn of 54% of his body is being treated under anesthesia for excision, debridement, and extensive skin grafting. The patient’s condition is listed as severe, and he is not expected to survive without the operation. The operation is further complicated by the emergency condition of the patient, and delaying this procedure could lead to loss of body parts. How should the anesthesiologist report her services with this procedure?
An anesthesiologist administers anesthesia for a male patient prior to the surgeon performing a total hip replacement. The patient is 75 years old and suffers from mild hypertension. How should you code the anesthesia services?
When a physician reduces sensation in a specific local area of the body, what type of anesthesia does he or she render?
When billing anesthesia which of the different types of modifiers listed below must always be appended?
The patient a five month old child was rushed to the hospital for emergency repair of a strangulated, recurrent ventral hernia. Code the hernia and the anesthesia for repair.
Intra-arterial, central venous and Swan-Ganz are considered:
Anesthesia is performed for a laryngoplasty with open reduction of fracture of a 45 day old infant. Because of the child’s age and small size, the procedure took more time than on older child.
Code for the anesthesia portion of both the harvesting and the moribund (near-death) recipient of a liver.
Using your CPT index look up Anesthesia for a diagnostic thoracoscopy. Which of the following is the correct anesthesia code?
Using your CPT index look up Anesthesia for a modified radical mastectomy with internal mammary node dissection. Which of the following is the correct anesthesia code?
Using the main section of Anesthesia (blue tab) in your CPT, look up Anesthesia for laparoscopic cholecystectomy. Which of the following is the correct anesthesia code?
Using your CPT Index look up Anesthesia for a diagnostic shoulder arthroscopy. Which of the following is the correct anesthesia code?
Report the appropriate anesthesia code(s) for a patient who had general anesthesia for a total shoulder replacement. At the surgeon’s request, the anaesthesiologist placed a brachial plexus continuous catheter for postoperative pain management. The day after surgery, the patient was seen by the anaesthesiologist for follow-up care. What are the correct codes for this encounter?
Report the appropriate anesthesia code(s) for an obstetric patient who had an epidural catheter placed for a normal delivery. The catheter was dislodged and was replaced before the patient delivered a healthy baby girl.
Which of the following is not included in the base unit value of anesthesia services?
Which of the following best describes the start of anesthesia time?
When more than one surgery is performed during a single anesthetic administration, which of the following is true regarding the anesthesia code reported?
Which of the following physical status modifiers best describes a normal, healthy patient who is undergoing anesthesia?
A 67-year-old patient is undergoing anesthesia for a re-operation after a coronary bypass two months ago. Which of the following qualifying circumstances may be reported separately?
Which of the following codes is used to report placement of a flow directed Swan-Ganz catheter?
An anaesthesiologist was called the emergency room to intubate a patient who has having respiratory difficulty. Which procedure code is reported?
A 42-year-old patient is going for immediate surgery due to a ruptured appendix. An anaesthesiologist was not available to administer general anesthesia. The surgeon administers the regional anesthesia with an epidural spinal block and performs the surgery. Which modifier is reported by the surgeon for administering anesthesia?
A 78-year-old patient is undergoing lens surgery for cataracts. An anaesthesiologist is performing monitored anesthesia care (MAC) personally. Which modifier(s) is/are appropriately reported for the anaesthesiologist’s service?
A 22-year-old patient is delivered a healthy baby boy by caesarean delivery under general anesthesia. The anaesthesiologist performed all required steps for medical direction and was medically directing two other cases concurrently. Which modifier(s) is/are reported for the anaesthesiologist and CRNA services?
An anaesthesiologist is medically supervising five cases at the same time. Which modifier(s) appropriately report the anaesthesiologist and CRNA services?
A CRNA is performing a case personally without medical direction from an anaesthesiologist. Which modifier is appropriately reported for the CRNA services?
A 69-year-old Medicare patient with a history of severe cardiopulmonary disease is undergoing surgery under monitored anesthesia care MAC. Which modifier(s) is/are appropriate?
