AAPC Chapter 16: Anesthesia Test with Verified Answers
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AAPC Chapter 16: Anesthesia
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AAPC Chapter 16: Anesthesia
AAPC Chapter 16: Anesthesia Test with Verified Answers
Using the CPT Index, look for anesthe-
sia for a modified radical mastectomy
with internal mammary node dissection.
Which of the following is the correct
anesthesia code?
Using the CPT Index, look for anesthesia
for a diagnostic thoracos...
AAPC Chapter 16: Anesthesia Test with Verified Answers
00406
RATIONALE: Anesthesia/Mastectomy is
Using the CPT Index, look for anesthe-
not listed in the CPT Index. Look
sia for a modified radical mastectomy
for Anesthesia/Breast to see the code
with internal mammary node dissection.
range. Code 00406 is the appropriate
Which of the following is the correct
anesthesia code for a radical mastecto-
anesthesia code?
my with internal mammary node dissec-
tion.
00528
Using the CPT Index, look for anesthesia RATIONALE: Look in the CPT Index for
for a diagnostic thoracoscopy. Which of Anesthesia/Thoracoscopy. All of these
the following is the correct anesthesia codes are related to thoracoscopy. Code
code? 00528 describes a diagnostic procedure
not using 1 lung ventilation utilization.
Using your ICD-10-CM Alphabetic Index, D25.9
look for the diagnosis code for a patient RATIONALE: The preoperative diagno-
with a preoperative diagnosis of abdomi- sis is disregarded because a more de-
nal pain, right lower quadrant and a post- finitive diagnosis is determined following
operative diagnosis of uterine fibroids. surgery. Look in the ICD-10-CM Alpha-
Which of the following is the correct di- betic Index for Fibroid/uterus D25.9. Ver-
agnosis code? ify code selection in the Tabular List.
H02.829, Z92.83
RATIONALE: The reason for the anes-
thesiologist's involvement for the mon-
itored anesthesia care (MAC) in the
surgery is the patient's history of failed
A patient is scheduled for monitored
moderate sedation. The eye cyst is
anesthesia care (MAC) to remove an
first-listed as it is the medical necessity
eyelid cyst. Normally the surgeon pro-
for the surgery and Z92.83 is an addition-
vides moderate sedation for the removal;
al diagnosis to explain the need for anes-
however, this patient has a history of
thesia care. In the ICD-10-CM Alphabetic
failed moderate sedation. Select the cor-
Index, look for Cyst/eyelid (sebaceous)
rect diagnosis code(s).
directing you to H02.829. Next, look in
the Alphabetic Index for History/person-
al (of)/failed conscious sedation directing
you to Z92.83. Verify code selection in
the Tabular List.
, AAPC Chapter 16: Anesthesia Test with Verified Answers
A 67-year-old patient is undergoing None of the above
anesthesia for a re-operation after a RATIONALE: Qualifying circumstances
coronary bypass two months ago. Which may not be separately reported if the
of the following qualifying circumstances anesthesia code already takes difficulty
may be reported separately? into consideration.
31500
RATIONALE: The anesthesiologist is not
An anesthesiologist was called to the
providing an intubation for a patient un-
emergency room to intubate a patient
dergoing anesthesia. An emergency in-
with respiratory difficulty. Which proce-
tubation is correctly reported as 31500.
dure code is reported?
Look in the CPT Index for Intubation/En-
dotracheal Tube.
P1
Which of the following physical status
RATIONALE: A normal healthy patient is
modifiers best describes a normal health
reported with physical status modifier P1.
patient who is undergoing anesthesia?
No additional value is recognized.
A CRNA is personally performing a case,
QZ
without medical direction from an anes-
RATIONALE: A CRNA without medical
thesiologist. Which modifier reports the
direction is reported with QZ modifier.
CRNA services?
AD and QX
RATIONALE: An anesthesiologist who is
An anesthesiologist is medically super-
medically supervising reports the service
vising five cases at the same time. Which
separately from the CRNA. Supervision
modifier(s) report(s) the anesthesiologist
of more than four concurrent anesthesia
and CRNA services?
procedures is reported with modifier AD.
The CRNA reports with modifier QX.
G9
RATIONALE: Anesthesia care for a
A 69-year-old Medicare patient with a
Medicare patient who is undergoing
history of severe cardiopulmonary dis-
MAC and has a history of severe car-
ease is undergoing surgery with mon-
diopulmonary disease is reported with
itored anesthesia care (MAC). Which
modifier G9. The additional modifier QS
modifier(s) is used for monitored anes-
is not necessary because the descrip-
thesia care service?
tion for G9 includes monitored anesthe-
sia care.
, AAPC Chapter 16: Anesthesia Test with Verified Answers
CASE 1
CRNA performed anesthesia (Use Mod-
ifier QX to indicate CRNA services with
medical direction by a physician.)
Anesthesiologist medically directing two
cases (Use modifier QK to indicate med-
ical direction of two cases.)
Anesthesia Time: 9:30 to 10:06
Physical Status 3 (Physical status 3 - use
P3 modifier.)
PREOPERATIVE DIAGNOSIS: Cyst on
knee
01400-QK-QS-P3, M71.20;
POSTOPERATIVE DIAGNOSIS: Bak-
01400-QX-QS-P3, M71.20
er's Cyst (Use post-operative diagnosis.)
36
PROCEDURE: Excision of Baker's Cyst,
knee (Excision is an open procedure and
is performed on the knee.)
ANESTHESIA: Monitored Anesthesia
Care (MAC services require QS modifi-
er.)
What are the CPT and ICD-10-CM
Codes reported for the Anesthesiolo-
gist?
What are the CPT and ICD-10-CM
Codes reported for the CRNA?
, AAPC Chapter 16: Anesthesia Test with Verified Answers
What is the time reported for this ser-
vice?
CASE 2
Anesthesiologist personally performed
(Personally performed by anesthesiolo-
gist—use AA modifier.)
Anesthesia Time: 7:12 to 10:08 (Time is
176 minutes.)
Physical Status 2 (Physical status 2, use
P2 modifier.)
PREOPERATIVE DIAGNOSIS: Sus-
pected Prostate Cancer
PROCEDURE: Radical Retropubic
Prostatectomy (Procedure performed.
Make note the procedure is "radical.")
ANESTHESIA: General (General anes-
thesia.)
What are the CPT and ICD-10-CM
Codes reported for the Anesthesiolo-
gist?
What is the time reported for this ser-
vice?
CASE 3
Non-medically directed CRNA (CRNA
services without medical direction re-
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