Questions and Answers
What are the three classifications of anesthesia?
What modifier is used for medically-directed CRNA services?
What intraperitoneal organs are found in the lower abdomen?
What physical status modifier best describes a patient who has a severe systemic disease that is a constant threat to life?
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A 22 year-old patient who has severe medical problems is placed under general anesthesia for a service not usually requiring anesthesia. What modifier would be appended to the service?
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What time is used to report the start of anesthesia time?
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If the insurance company requires a reported modifier, what modifier best describes the extenuating circumstances in case the surgery is discounted?
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What is the anesthesia time reported if the anesthesia start time is 7:14 am, surgery started at 7:26 am, and ended at 8:18 am?
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What is the anesthesia time reported for a preanesthesia assessment at 10:21 am, anesthesia start time at 12:26 pm, and the surgery finished at 15:12 pm?
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Using fifteen-minute increments and a conversion factor of $100, what is the correct anesthesia charge for Code 00350 with a total of eleven units?
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Using fifteen-minute increments and a conversion factor of $100, what is the correct anesthesia charge for Code 00940 under emergency circumstances?
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What modifier(s) is/are appropriate for Medicare for a surgery that is markedly invasive?
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What modifier is appropriately reported for CRNA services when a case is performed with medical direction from an anesthesiologist?
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What modifier is reported when an anesthesiologist is medically supervising six cases concurrently?
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What modifier is reported for an anesthesiologist medically supervising six cases?
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Study Notes
Anesthesia Classifications
- Three primary classifications of anesthesia: General, Regional, and Monitored Anesthesia Care (MAC).
Modifiers for Anesthesia Services
- Modifier QX is used for medically-directed Certified Registered Nurse Anesthetist (CRNA) services.
- Modifier 23 indicates a service that typically does not require anesthesia but was necessary due to severe medical issues.
- Modifier 73 applies when surgery is canceled due to complications arising prior to anesthesia administration.
- Modifier AD is reported when an anesthesiologist medically supervises multiple cases concurrently.
- Modifier QK is applicable for an anesthesiologist who provides medical direction for a CRNA.
Patient Condition Classifications
- A patient with a severe systemic disease threatening life is classified as P4 under physical status modifiers.
Anesthesia Timing and Reporting
- Anesthesia start time is recorded when the anesthesiologist begins patient preparation for anesthesia.
- Proper reporting of anesthesia time includes starting from anesthesia start time to the patient transfer to the Post Anesthesia Care Unit (PACU).
- In surgical cases, a time of 7:14 am to 8:29 am results in a reported anesthesia duration of 75 minutes.
Anesthesia Coding and Charges
- Code 00350 involves anesthesia for major neck vessel procedures with a base value of ten units.
- For a P3 patient, the total base units increase by one due to the patient's status allowing supplemental units, with a total anesthesia charge calculated at $1800.
- Code 00940, related to vaginal procedures, has a base value of three units and can be adjusted for emergency circumstances, resulting in a charge of $1000.
Invasive Procedures Under MAC
- For markedly invasive procedures requiring Monitored Anesthesia Care (MAC), modifier G8 is appropriate under Medicare guidelines.
CRNA and Anesthesiologist Modifiers
- When a CRNA performs services with anesthesiologist direction, modifier QX is reported, while modifier QZ indicates a CRNA working independently without supervision.
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Description
Test your knowledge on the primary classifications of anesthesia, including General, Regional, and Monitored Anesthesia Care. Explore the various modifiers used for anesthesia services and understand the classification of patient conditions. This quiz covers critical aspects of anesthesia timing and reporting as well.
