Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
AAPC chapter 16
Anesthesia
| Question | Answer |
|---|---|
| Pay attention to parathetical instructions for codes _____ reported together. Can look under "anesthesia" for codes, but mostly found by _____ site. | not, anatomical |
| All anesthesia codes are assigned a ____ unit value (BUV). | base |
| 3 different types of anesthesia: spinal- injected into CSF for surgery below upper abdomen. ______- into epidural space. Nerve block- injected into area around nerve, commonly used for _____ and leg surgeries. | Epidural, arm |
| One lung ventilation (OLV): R/t thoracic surgery. One lung is ventilated and the other is ____ (temporarily) to improve surgical access to the lung or thoracic cavity. | collapsed |
| Pump oxygenator: cardiopulmonary bypass (CPB) machine used to function as the ____ and lungs during heart or great vessel surgery. | heart |
| Pump Oxygenator: when used the anesthesia record should say when pt went on and ____ pump. When pump isn't used, surgeon is operating on a _____ heart. | off, beating |
| Diagnostic or surgical arthroscopic procedures: assign only diagnostic code when _____ surgery done. | no |
| Post-op pain management: usually bundled in surgeons global fee but anesthesist may bill _____. | separately |
| Post-op pain management: coding depends on what's _____, the site of injection and placement of either single injection ____ or continuous by catheter. | injected, block |
| Codes obtained from surgery and radiology section are _____fee and no time is reported separately. Only anesthesia codes are reported with ____ units. | flat, time |
| Ultrasound or flouroscopic guidance used for pain management: codes reported separately with modifier ____- professional component, unless the code selected includes _____ guidance. | 26, imaging |
| Nerve block codes: may be used as an adjunct to _____ anesthesia if placement if for post-op pain management. | general |
| Nerve block codes shouldn't be reported separately if the block is the ____ of anesthesia for procedure being performed. | type |
| Continuous infusion catheter: if infusion catheter is placed for operative anesthesia the anesthesia code plus _____ is reported. | time |
| Anesthesiologists may reportan E/M service to re-eval post-op ____ if documentation supports the level of service reported and billed. | pain |
| ICD-10: coding , determine ____ for encounter. | reason |
| ICD-10: for operative notes the post-op diagnosis is coded because the pre-op diagnosis can _____ intraoperatively. | change |
| CPT: each anesthesia code has a _____ and are not separately listed. | BUV |
| American society of anasthesiologists (ASA) determines the ______ unit values for anesthesia codes. ASA and Medicare _____ a list of BUV's. | base, publish |
| BUV: determined by the ____ of the procedure performed. Determining these is the 1st step in calculating anesthesia ____, time reporting is the 2nd step. | difficulty, charges |
| Anesthesia time begins when anesthesiologist begins to ____ the pt for anestesia in either the OR or equivalent area. End time: when pt safely placed under _____-op supervision. | prepare, post |
| Time doesn't need to be ______. Anesthesiologist may leave and come ____ in OR and clock starts again. | continuous, back |
| Medicare requires exact reporting without rounding to the _____5 minutes, Medicare divides the total time into 15 min increments so if total time 57 mins the toal value is _____ units. | nearest, 3.8 |
| When multiple surgical procedures done on one pt during anesthesia admin: surgery representing the most ____ procedure reported because it has a higher ____. | complex, BUV |
| Multiple procedures done on one pt during anesthesia admin: when pt has additiona add on procedures applicable to the anesthesia service not reported ____, must be reported with the primary anesthesia code referenced in _____. | alone, parenthesis |
| Physical status modifiers: anesthesia modifier describing the physical status of the pt and potential ____ of the anesthesia as a result. | complexity |
| P1-P6: each one has extra ____ that are added to BUV's except P2 and P6 which none are added | credits |
| Qualifying circumstances (QC): are anesthesia add-on codes assigned to report anesthesia services performed under ____ circumstances that have a significant effect on the character of the code. Each has extra _____ to add on. | difficult, units |
| To calculate anesthesia units: add base units + _____ units, + additional units (status modifier, qualifying circumstances)+ total units. | time |
| When anestesist places an invasive monitoring device: add on code reported. Monitoring is ____ in the base value so if another provider places the line or catheter no additional info _____ by anesthesiologist on claim form. | included, reported |
| Time is not reported separately for ____ fee procedures. | flat |
| Flat fee procedures procedures provided: isn't included in anesthesia time. Don't require ____ to be documented/reported. | time |
| When CV catheter inserted and pulmonary artery catheter (PAC) is then inserted through the CV cath: report only the ______. | PAC |
| Add billable items by anesthesiologist: payment for these are based on physician ____ schedule. Monitoring is NOT reported separetely. | fee |
| Modifier 23: for _____ anesthesia. | unusual |
| Moderate conscious sedation: is ____ induced depression of consciousness. Generally doesn't _____ anesthesiologist. | drug, involve |
| Monitored anesthesia care (MAC): pt doesn't _____ consciousness, is able to maintain an open airway. | lose |
| Medical direction: anesthesiologist is involved in 2, 3 or 4 anesthesia procedures at the ____ time or single procedure with anestesia resident, CRNA or assistant. When medical directing he ____ provide the 7 services. | same, must |
| HCPCS modifiers: only reported with CPT anesthesia codes. ____- anesthesia services performed personally by anestesiest. AP- medical supervision by _____: more than 4 concurrent anestesia procedures. | AA, physician |
| Medical direction modifiers: reported ____ after CPT anesthesia code. Modifiers affecting payment should always be reported in the position _____ information/statistical modifiers. | 1st, before |
| Conversion factor: used to convert anesthesia _____ into dollar amount. | units |
| Hypothermic circulatory _____: temp of 20 degrees centigrade or less. | Arrest |
Created by:
mlovest
Popular Medical sets