AAPC chapter 16 Word Scramble
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| 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 |
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