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Modifiers

Reference pages 495, 502, and 507

TermDefinition
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.
Created by: MissMeeMee