Exam (elaborations)
CPT & HCPCS Coding - Anesthesia Formula (True or False Review) Q&A
CPT & HCPCS Coding - Anesthesia Formula (True or False Review) Q&A
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CPT & HCPCS Coding - Anesthesia Formula (True orFalse Review) Q&A
TRUE - ✔️ Anesthesia services are reimbursed based in part on the
amount of time anesthesia is administered.
TRUE - ✔️ The anesthesia code for the most complex procedure is
assigned when multiple procedures are performed during the same
operative session under the same type of anesthesia.
FALSE - ✔️ Preoperative and postoperative visits by the anesthesiologist
can be reported in addition to the administration of the anesthesia.
FALSE - ✔️ When a second physician provides moderate conscious
sedation in a nonfacility setting then this physician can report a moderate
conscious sedation code.
TRUE - ✔️ When a physician performs the surgery and administers the
anesthesia the modifier 47 (Anesthesia by surgeon) needs to be appended
to the procedure code.
TRUE - ✔️ Physical Status Modifiers are used to indicate the condition of
the patient at the time the anesthesia was administered.
FALSE - ✔️ The ASA Relative Value is a list of the charges for the
anesthesia services performed.
FALSE - ✔️ Only one Qualifying Circumstances Code can be reported
during the same operative session.
FALSE - ✔️ The appropriate Physical Status Modifier is decided by the
medical coder and does not need to be documented by the anesthesiologist.
TRUE - ✔️ The procedure with the highest basic unit value is reported
when multiple surgical procedures are performed during the same
operative session.
, FALSE - ✔️ Hospital Observation Services codes may only be assigned if
the patient is in an area designated by the hospital as an observation area.
TRUE - ✔️ When a patient is admitted to a hospital directly from a
physician's office report a code from the Initial Hospital Care Subcategory.
FALSE - ✔️ The anticoagulant management codes can be reported in the
outpatient and inpatient setting.
FALSE - ✔️ When a patient and/or the family initiates a consultation
(instead of a physician initiating it), a consultation code is reported.
FALSE - ✔️ HCPCS: When a physician orders that a patient be placed
under observation, the patient's status is that of an inpatient.
FALSE - ✔️ HCPCS: The codes listed in the Chemotherapy Drugs category
cover the cost of the chemotherapy and the administration.
TRUE - ✔️ Modifier 50 (Bilateral procedure) should be appended if a
patient has bunionectomy procedures performed on both the right foot and
the left foot during the same operative session (code 28292).
TRUE - ✔️ If a patient had multiple procedures performed during the
same operative session, modifier 51 (Multiple procedures) would be added
to the additional procedure codes.
TRUE - ✔️ When the description of a code includes the word bilateral you
do not add the modifier 50 (Bilateral procedure) to the CPT® code.
FALSE - ✔️ There are no exceptions to adding the modifier 51 (Multiple
procedures) to a CPT code when more than one procedure is performed
during the same operative session.
FALSE - ✔️ For spine examinations using magnetic resonance
angiography with contrast administered by intravascular injection, an
additional code is reported for the intravascular injection.
FALSE - ✔️ A code designated as a separate procedure can never be
reported by itself or in addition to other procedures or services.
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