CHAPTER 10 Worksheet 3-2-1 Code It
True or False
_____1. An anesthesiologist is a physician who, after medical school, completes a 1-year
internship and 3-yearresidency in anesthesia.
_____2. Aspirin, acetaminophen, and ibuprofen are examples of analgesics.
_____3. Analgesia is the process of inducing a loss of sensitivity to pain in all or part of the
body, resulting from theadministration of an anesthetic.
_____4. Local anesthesia is appropriate when there is a need to block pain from a large part of
the body.
_____5. Caudal anesthesia is when a local anesthetic is injected into cerebrospinal fluid.
_____6. Notes located beneath headings apply to all codes in the heading.
_____7. Anesthesia services do not include the preparation or monitoring of the patient.
_____8. Placing an airway tube is included as part of the anesthesia service.
_____9. Anesthesia services are reported by assigning a three-digit procedure code and adding
appropriate modifiers.
_____10. Topical anesthesia administered by the operating surgeon is included in the surgery
code.
_____11. The postanesthesia evaluation should be coded separately.
_____12. Anesthesia codes are reported by anesthesiologists and CRNAs only.
_____13. The code that describes the anesthesia service for the procedure that has the highest
basic unit value is reportedfirst.
_____14. An endotracheal tube is an artificial airway used for long-term airway management.
_____15. Anesthesiologists report drug administration codes from the CPT Medicine section.
_____16. Modifier -47 is never added to an anesthesia code.
_____17. The Anesthesia section is located after the Evaluation and Management section in the
CPT coding manual.
_____18. The surgeon is responsible for supervising anesthesia services.
_____19. Regional anesthesia is appropriate when there is a need to block pain from a large part
of the body.
_____20.Capnography is the monitoring of oxygen levels.
Completion
Complete each statement.
21. Anesthesia for repair of ruptured Achilles tendon, with or without graft on patient with
controlled diabetes.Assign code(s).
22. Anesthesia for procedures on eye, not otherwise specified. Assign code(s).
23. Anesthesia for procedures on heart, pericardial sac, and great vessels of chest with pump oxygenator, youngerthan 1 year of age. Assign code(s).
24. Anesthesia for transurethral procedures (including urethrocystoscopy) with fragmentation, manipulation, and/orremoval of ureteral calculus. Assign code(s).
25. Anesthesia for interpelviabdominal (hindquarter) amputation. Assign code(s).
26. Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by adifferent provider), prone position. Assign code(s).
27. Anesthesia for urgent hysterectomy following delivery. Assign code(s).
28. Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to includeSwan-Ganz catheter). Assign code(s).
29. Anesthesia for all procedures on major abdominal blood vessels. Assign code(s).
30. Anesthesia for procedures on eye, corneal transplant on 82-year-old patient. Assign code(s).
31. Physiological support for harvesting of organ(s) from brain-dead patient. Assign code(s).
32. Anesthesia for all cast applications, removal, or repair involving knee joint. Assign code(s).
33. Anesthesia for open or surgical arthroscopic procedures of the elbow, repair of nonunion or malunion ofhumerus. Assign code(s).
34. Anesthesia for diagnostic arteriography/venography on patient with history of severe coronary artery disease.Assign code(s).
35. Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand.Assign code(s).
36. Daily hospital management of epidural or subarachnoid continuous drug administration. Assign code(s).
37. Anesthesia for electroconvulsive therapy. Assign code(s).
38. Anesthesia for procedures involving plastic repair of cleft lip on 6-month-old child. Assign code(s).
39. Anesthesia for permanent transvenous pacemaker insertion in 70-year-old patient with ESRD. Assign code(s).
40. Anesthesia for procedures in lumbar region, diagnostic or therapeutic lumbar puncture. Assign code(s).
Multiple Choice
Identify the choice that best completes the statement or answers the question.
41.Topical application of a local anesthetic cream is an example of
a. field block c. infiltration anesthesia
b. surface anesthesiad. peripheral nerve block
42. The dollar amount assigned to a geographic location is the
a. anesthesia conversion factor c. anesthesia time unit
b. base unit value d. modifying unit
43. Which modifier should be assigned to indicate the patient's condition at the time anesthesia was administered?
a. -QY c. -QS
b. -G9 d. -P1
44. The term that is used to identify those times when anesthesia is provided during difficult situations that makethe administration of the anesthesia more difficult is
a. concurrent procedures c. utilization requirements
b. medically directed circumstances d. qualifying circumstances
45. Jane Smith underwent amniocentesis. She has petit mal epilepsy. Using the Anesthesia section, apply code
a. 00842
b. 00842-P 1
c. 00842-P2
d. 00842-P3
46. Ron McAllister underwent extracorporeal shock wave lithotripsy. He suffers from controlled hypertension.Using the Anesthesia section, report code
a. 00873-P1c. 00873-P3
b. 00873-P2 d. 00873-P4
47. An anesthesiologist provided general anesthesia monitored to a normal healthy patient who underwent
diagnostic arthroscopy on the right knee. Report code
a. 01462-P 1-AA c. 01382-P 1-AA
b. 01462-P2-AA d. 01382-P2-AA
48. An anesthesiologist provided general anesthesia services to a patient with a history of prior myocardialinfarction who underwent excision of a cyst of the left humerus. Report code
a. 01742-P2c. 01758-P2-AA
b. 01742-P3d. 01758-P3-AA
49. An anesthesiologist provided monitored anesthesia care to a patient with severe systemic disease who
underwent cardiac catheterization, including coronary angiography and ventriculography. Report code
a. 01916-P2-AA-QS c. 01920-P2-AA-QS
b. 01916-P3-AA-QS d. 01920-P3-AA-QS
50. A CRNA provided general anesthesia services to a 5-year-old normal healthy patient who underwent
third-degree burn debridement of the chest, 5 percent of total body surface area. Report code
a. 01952-P1-QX c. 01953-P1-QX
b. 01952-P2-AA d. 01953-P2-AA
51. Review of a patient record reveals the following: The anesthesia code has a basic unit value of 5, and thephysical status modifier -P2 has a relative value of 0. Anesthesia time is 30 minutes. A conversion factor of$17.04 is assigned to Alabama. Payment for anesthesia services is calculated as
a. $17.04 c. $119.28
b. $34.05 d. $139.60
52. The HCPCS level II modifier that is assigned to indicate anesthesia services were performed personally by ananesthesiologist is
a. -AA c. -G8
b. -AD d. -QX
53. A patient with morbid obesity undergoes a prostatectomy under general anesthesia. What physical statusmodifier would be added to the anesthesia code?
a. -P1 c. -P3
b. -P2 d. -P4
54. An anesthesiologist provided general anesthesia services to a morbidly obese 55-year-old female whounderwent total knee replacement. Report anesthesia code
a. 01402 c. 01402-P2
b. 01402-P1 d. 01402-P3
55. A healthy 10-month-old patient received general anesthesia services from an anesthesiologist for low abdominalhernia repair. Report code(s)
a. 99100-P1-AA c. 00830-P1-AA, 99100
b. 00830 d. 00834-P1-AA
56. A patient undergoes a surgical procedure that requires 60 minutes of anesthesia time. The patient receivedunit(s) of anesthesia time.
a. 1 c. 3
b. 2 d. 4
57. The maximum number of procedures an anesthesiologist or a CRNA medically directs within the context of asingle procedure and when the procedures overlap each other is referred to as
a. concurrent medically directed anesthesia procedures
b. modifying units
c. the anesthesia conversion factor
d. monitored anesthesia care
58. A 32-year-old patient with type 1 diabetes mellitus underwent biopsy of the liver for which an anesthesiologistprovided anesthesia services. Report code
a. 00702-P1 c. 00702-P3-QX
b. 00702-P2-QX d. 00702-P3-AA
59. Which of the following modifiers should never be assigned to an anesthesia code?
a. -P6 c. -47
b. -QX d. -59
60. The modifier that indicates CRNA service with medical direction by a physician is
a. -QS c. -QY
b. -QX d. -QZ
Matching
Match each definition with a respiratory term listed below.
a. implanted port
b. internal catheter
c. Swan-Ganz catheter
d. central venous access device
e. intra-arterial cannula
______61.catheter placed into a vein and connected to a monitor
______62.thin plastic tube that is inserted into an artery and connected to a monitor
______63.small reservoir that has a rubber plug attached to the catheter
______64.thin, flexible, flow-directed multi-lumen tube positioned in a branch of the pulmonary artery
______65.implanted completely under the skin
Match each anesthesia code with the HCPCS level II modifier listed below.
a. -G9
b. -AD
c. -AA
d. -G8
e. -QS
______66.monitored anesthesia care
______67.anesthesia services performed personally by an anesthesiologist
______68.monitored anesthesia care for a deep, complex, complicated, or markedly invasive surgical procedure
______69.monitored anesthesia care for a patient who has a history of a severe cardiopulmonary condition
______70.medically supervised by a physician for more than four concurrent procedures
Match each description with a physical status modifier listed below.
a.
b. -P2
c. -P3
d. -P5
e. -P6
______71.patient with mild systemic disease
______72.normal healthy patient
______73.declared brain-dead patient
______74.moribund patient
______75.patient with severe systemic disease
Match each meaning with a modifier listed below.
a. -50
b. -51
c. -52
d. -53
e. -99
______76.reduced services
______77.multiple procedures
______78.discontinued procedure
______79.multiple modifiers
______80.bilateral procedures