45 Questions
Which code is reported as an add-on code with office visit codes 99205 and 99215?
99417
In the scenario described, what modifier does the anesthesiologist use to identify medical direction?
QK
According to the information provided, what modifier does the CRNA use to indicate a medically directed service?
QX
Which anesthesia code is correct for the procedure described in the text?
00540
What type of anesthesia service is provided for an open pleura biopsy in the text?
General anesthesia
In the scenario, which anesthesia code is not reported with office E/M visit code 99215?
99418
What anesthesia procedure is performed for a carpal tunnel nerve release in the given text?
General anesthesia
What type of block is performed by the anesthesiologist postoperatively for pain management in the text?
'Axillary block'
'What are the appropriate CPT® codes?' is most likely related to:
'Anesthesia coding'
Which CPT® code is reported for the insertion of a transvenous implantable pacing cardioverter-defibrillator system (ICD)?
33249
Why is choice A incorrect?
Code 33208 is for a permanent pacemaker, not an ICD
Why is choice C incorrect?
Code 33249 is the correct code, not the combination of 33241, 33243, and 33249
Why is fluoroscopic guidance not reported separately?
Fluoroscopic guidance is included in the ICD insertion code range
What is the indication for the endoscopic retrograde cholangiopancreatogram (ERCP) with stent placement and antral biopsy?
Liver transplantation
What is the patient's age?
50 years old
What is the primary diagnosis for the liver transplantation?
Both chronic hepatitis C and hepatocellular carcinoma
What additional procedure was performed during the ERCP?
Stent placement
Which of the following is NOT a reason the provider may have performed an ERCP in this patient?
Obtain a biopsy of the stomach antrum
What was the purpose of advancing the atrial and ventricular leads into the vessel to the level of the right atrium?
To place the leads in the correct position
Where was the ventricular lead maneuvered and fixed?
In the right ventricular outflow tract and then through the RV apex
What was the purpose of anchoring the leads to the pre-pectoralis fascia?
To prevent tension on the leads
What was the purpose of irrigating the pocket with a Bacitracin solution?
To prevent infection
What was the purpose of the subcuticular closure with running 4-0 Vicryl suture?
To close the skin incision
What was the purpose of inducing ventricular fibrillation with a T wave shock?
To test the sensing and termination capabilities of the device
What was the purpose of measuring the high voltage impedance?
To confirm proper functioning of the device
What was the purpose of placing a dry dressing over the wound?
To prevent infection
What was the purpose of closing the deep fascial layer with interrupted 2-0 Vicryl suture?
To create a subcutaneous pocket
What is the purpose of a biophysical profile (BPP) during pregnancy?
To evaluate fetal well-being
How many tests are typically included in a full biophysical profile (BPP)?
Five tests
Which medical professional performs the non-stress test during a biophysical profile?
Obstetrician
Which CPT® code is used for the selective catheterization of the right renal artery?
36245-RT
What does the CPT® code 36200 refer to in the context of renal angiography?
Selective catheter placement
In the scenario given, why was the non-stress test not performed by the radiologist?
The obstetrician's office is a more suitable setting for the test
What score was obtained in the biophysical profile (BPP) performed for the pregnant patient in this scenario?
8/8
Why did the doctor recommend a biophysical profile for the pregnant patient in this scenario?
Due to decreased fetal movement concerns
What is the main difference between a full BPP and a basic BPP?
'Basic' includes non-stress test, 'Full' does not
Which code pair correctly represents the anesthesia service and the axillary block?
01810-AA, 64417-59
What is the purpose of appending modifier 59 to the axillary block code?
To indicate the services are bundled and require modifier unbundling
For the needle thyroid biopsy case, which code and time accurately represent the anesthesia service?
00320, One hour
According to the CPT guidelines, when does anesthesia time start?
When the anesthesiologist begins to prepare the patient
Why is the anesthesia code 01810 reported for the carpal tunnel release procedure?
Because it is a nerve release procedure and 01810 represents anesthesia for nerve procedures
What does modifier AA indicate when reported with the anesthesia code?
That the anesthesia was provided by the anesthesiologist
For the needle thyroid biopsy case, when does the anesthesia time end?
When the anesthesiologist turns over the patient's care to the recovery room nurse at 10:00 am
According to the information provided, what is the appropriate anesthesia code for a needle thyroid biopsy?
00322
What is the purpose of reporting the axillary block in addition to the anesthesia service?
To report postoperative pain management services
Test your knowledge of medical billing codes with this quiz. Questions include scenarios where specific prolong codes are reported with office visit codes, along with instructions and restrictions for different E/M visit codes.
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