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Modifiers
Reference pages 495, 502, and 507
| Term | Definition |
|---|---|
| MAC | Monitored Anesthesia Care |
| CRNA | Certified Registered Nurse Anesthetist |
| CPB | Cardiopulmonary Bypass |
| OLV | One-Lung Ventilation |
| Intraperitoneal organs upper abdomen | Stomach, liver, gallbladder, spleen, jejunum, ascending colon, and transverse colon |
| Intraperitoneal organs lower abdomen | Appendix, cecum, ileum, and sigmoid colon |
| Extraperitoneal or retroperitoneal | Describes the anatomical space in the abdominal cavity behind or outside the peritoneum. |
| Extraperitoneal | Organs in the lower abdomen include the ureters and urinary bladder, the kidneys, adrenal glands. |
| Extraperitoneal | Lower esophagus are extraperitoneal organs of the upper abdomen. Also located in the retroperitoneum are the aorta and inferior vena cava. |
| P1 | A normal healthy patient -No extra value added |
| P2 | A patient with mild systemic disease-No extra value added |
| P3 | A patient with severe systemic disease-1 extra unit |
| P4 | A patient with severe systemic disease that is constant threat to life-2 extra units |
| P5 | A moribund patient who is not expected to survive without the operation-3 extra units |
| P6 | A declared brain-dead patient whose organs are being removed for donor purposes-No extra value added |
| QS | Monitored anesthesia care service |
| QK | Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals. |
| QY | Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist. |
| QZ | CRNA service: without medical direction by a physician |
| AA | Anesthesia services performed personally by anesthesiologist |
| AD | Medical supervision by a physician: more than four concurrent anesthesia procedures |
| G8 | Monitored anesthesia care for deep complex, complicated, or markedly invasive surgical procedure. |
| G9 | Monitored anesthesia care for patient who has a history of severe cardiopulmonary condition. |