Instructions: Review each case and assign the appropriate anesthesia code(s) and physical status modifier(s). Make sure you assign qualifying circumstance code(s) where appropriate. All anesthesia services were provided by the anesthesiologist, which means that modifier -AA is added to each anesthesia code. Some cases require assignment of CPT surgery codes and appropriate modifier(s), per chapter content about anesthesia coding guidelines.
3. A 9-month-old female patient underwent tracheostomy under general anesthesia after having sustained injuries in a motor vehicle accident. The child lost consciousness for 60 minutes after the accident and required cardiopulmonary resuscitation.
6. A 14-year-old male is admitted to the pediatric ward with chest pain, shortness of breath, and possible lordosis. After examination, the diagnosis of pectus excavatum was made. The boy had the condition corrected with an open procedure under general anesthesia.
7. A 78-year-old female smoker was admitted for shortness of breath, hypertension, and bloody sputum. She was diagnosed with pneumonia and underwent pneumocentesis performed under general anesthesia.
20. A 76-year-old female with Parkinson's disease fell while getting out of bed. She was unable to walk and was found two days later by her son. She was dehydrated and disoriented. She was seen and evaluated in the emergency department. She was admitted with the diagnosis of a hip fracture. The patient's hip was repaired with total hip arthroplasty under general anesthesia on the day of admission
25. An otherwise healthy 27-year-old male fell while riding his motorcycle. He complained of right shoulder pain and swelling. Upon radiological exam, it was noted that he had a fractured humerus. He underwent closed treatment of the humeral head under general anesthesia.
27. A healthy 21-year-old female college tennis player complained about pain in her left elbow. The joint was swollen and tender. After orthopedic and radiological exam, reconstruction of the lateral collateral ligament was performed under general anesthesia.
28. A 50-year-old bodybuilder heard a pop and felt severe pain in his right upper arm while lifting heavy weights. Radiological exam revealed a ruptured bicep tendon. He underwent reinsertion of the ruptured tendon under general anesthesia.
36. A controlled non-insulin-dependent diabetic 29-year-old female underwent cesarean delivery with general anesthesia.
37. A 37-year-old male has recurring back pain. He underwent spinal disc surgery and continued to need daily epidural continuous drug anesthesia while in the hospital.
38. An anesthesiologist provided physiologic support for harvesting organs (for organ donation) from a brain-dead patient.
39. A healthy 30-year-old patient underwent insertion of an epidural catheter on the first day of admission. On the second day of admission, the anesthesiologist was responsible for hospital management of continuous epidural drug administration. (Report the Anesthesia code for the second day of admission only.)
Appropriate codes :-
3)A 9-month-old female patient underwent tracheostomy under general anesthesia after having sustained injuries in a motor vehicle accident. The child lost consciousness for 60 minutes after the accident and required cardiopulmonary resuscitation.
00326-P5-AA, 99140
6) A 14-year-old male is admitted to the pediatric ward with chest pain, shortness of breath, and possible lordosis. After examination, the diagnosis of pectus excavatum was made. The boy had the condition corrected with an open procedure under general anesthesia.
00474-P2-AA
7) A 78-year-old female smoker was admitted for shortness of breath, hypertension, and bloody sputum. She was diagnosed with pneumonia and underwent pneumocentesis performed under general anesthesia.
00524-P3-AA, 99100
Instructions: Review each case and assign the appropriate anesthesia code(s) and physical status modifier(s). Make sure...
Instructions: Review each case and assign the appropriate anesthesia codes and physical status modifiers. All anesthesia services were provided by the anesthesiologist. You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised (3) and in some cases a qualifying circumstance code. 6. A 78-year old female smoker was admitted for shortness of breath, hypertension, and bloody sputum. She...
You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised (3) and in some cases a qualifying circumstance code. 1. A 77-year old healthy male patient with controlled diabetes mellitus underwent intraocular lens transplant surgery for which general anesthesia was administered. _______________________________________________________________________________________________ 2. A healthy 36-year old female underwent tubal ligation under general anesthesia for voluntary sterilization. ________________________________________________________________________________________________...
You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised (3) and in some cases a qualifying circumstance code. 1. A 77-year old healthy male patient with controlled diabetes mellitus underwent intraocular lens transplant surgery for which general anesthesia was administered. _______________________________________________________________________________________________ 2. A healthy 36-year old female underwent tubal ligation under general anesthesia for voluntary sterilization. ________________________________________________________________________________________________...
Instructions: Review each case and assign CPT anesthesia code(s) and appropriate modifier(s). (Enter the physical status modifier first, such as 00000-P1-AA.). Some cases require assignment of CPT surgery codes and appropriate modifier(s), per chapter content about anesthesia coding guidelines. A CRNA (with medical direction by the surgeon) provided general anesthesia services for a controlled diabetic patient who underwent total wrist replacement. At the conclusion of the surgical procedure, the CRNA inserted an epidural catheter to provide continuous postoperative analgesia for...
Instructions: Review each case and assign CPT anesthesia code(s) and appropriate modifier(s). (Enter the physical status modifier first, such as 00000-P1-AA.). Some cases require assignment of CPT surgery codes and appropriate modifier(s), per chapter content about anesthesia coding guidelines. A patient with chronic asthma underwent a thoracotomy. The CRNA (without medical direction by a physician) provided general anesthesia services and, at the conclusion of the procedure, inserted an epidural catheter for continuous infusion of morphine for postoperative pain control. Two...
A healthy patient underwent total knee replacement surgery; regional anesthesia services were provided by an anesthesiologist
A 37-year old male has recurring back pain. he underwent spinal disk surgery and continued to need daily epidural continuous drug anesthesia while in the hospital. Instructions: Review each case and assign the appropriate anesthesia codes and physical status modifiers. All anesthesia services were provided by the anesthesiologist. You will need: (1) physical status modifiers, (2) the appropriate HCPCS modifier for person providing the anesthesia , this will denote whether the service was personally performed, medically directed, or medically supervised...
Instructions: Assign the CPT code(s) and appropriate modifier(s) to each case. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Patient underwent reconstruction of the entire forehead and supraorbital rims, requiring grafts, to correct a congenital skeletal deformity. After administration of general anesthesia, scalp and upper eyelid incisions were made to access the surgical site. The forehead bones were reshaped and repositioned, and bone allografts were inserted...
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). With the patient under general anesthesia, an upper midline incision was made and dissected around the spleen. The ruptured segment of the spleen was identified at the distal portion, and this was resected. The wound was irrigated, and the incision was closed using sutures and a sterile dressing. Three-fourths of the spleen was left intact. DIAGNOSIS: Ruptured spleen due to Plasmodium vivax malaria.
Assign the CPT surgery code(s) and the appropriate HCPCS level II and CPT modifier(s). The patient, a 25-year old female with a diagnosis of portal hypertension, presented to the surgical suite for a splenectomy. After informed consent was obtained, the patient was given a preoperative anesthesia injection. Then the patient was prepped and draped in the usual sterile fashion. With the patient under general anesthesia, a midline incision was made. After the spleen was identified, surrounding tissue was dissected free....