CPT Question Practice Series 0 Anesthesia: In this article, we collect some important questions related to anesthesia series guidelines. This series is very important for the Certified Professional Coder (CPC) exam, and out of total 100 questions, four come from the anesthesia series.
The AAPC’s Certified Professional Coder (CPC) exam is currently the gold standard of coding certifications. Let’s take a look at this certification exam now.
CPT Question Practice Series-0 Anesthesia
Medical Coding Full Information : Medical Coding Full Information
Q.1 – Mr. John is an 89 yrs old patient with severe hypertension. He underwent a B/L cataract surgery under general anesthesia. Dr. Ken, the anesthesiologist, performed the anesthesia. Prior to induction of anesthesia Dr. Ken has completed a preoperative visit and documented a detailed history, detailed examination, and low complexity decision making on this new patient. How would you report Dr. Ken’s services?
(a) 99203, 00142-P2, 99100
(b) 00142-P3, 99100
(c) 00140-P1, 99100
(d) 66820, 00144, 99100
Q.2 – A 48 yr old patient receives general anesthesia for an open procedure pleura biopsy, an anesthesiologist medically directs three other cases and medically directs a CRNA in this case. What are the appropriate codes for both providers?
(a) 00540-AA, 00540-QZ
(b) 00541-QK, 00540-QX
(c) 00540-QK, 00540-QX
(d) 00541-AA, 00540-QZ
Q.3 – A 38 yrs old female patient in good physical health is undergoing a laparoscopic tubal ligation surgery. The anesthesiologist begins to prepare the patient for surgery at 09.30 am and the surgery begins at 10.00 am and ends at 11.00 am. The anesthesiologist releases the patient to recovery nurse at 11.15 am. What is the total anesthesia time?
(a) 1hr 45 min
(b) 1hr
(c) 1hr 15 min
(d) 1hr 30 min
Q.4 – A 55 yrs old patient, lipoma is removed from his chest wall measuring 6sq cm and the defect is 9sq cm requiring an intermediate closure. MAC is performed by a medically directed CRNA (Certified registered nurse anesthetist). How would you report the anesthesia service?
(a) 00400 – QS, QZ
(b) 00300 – QS, QZ
(c) 00300 – QS, QX
(d) 00400 – QS, QX
Q.5 – An anesthesiologist provides general anesthesia for an 82 yrs old patient with hypertension who is undergoing a ventral hernia repair. How would you report the anesthesia service?
(a) 00834-P2, 99116
(b) 49560, 00834-P2, 99100
(c) 00832-P2, 99116
(d) 00832-P2, 99100
Q.6 – A 40 yrs old patient is undergoing percutaneous thyroid biopsy. The anesthesiologist beings to prepare the patient for surgery at 10.00am. And the surgery begins at 10.15am, and the surgery ends at 10.45am. The anesthesiologist hand over the patient care to the recovery room nurse at 11.00am. How would you report the service and total time in units?
(a) 00320, Time: 4 units
(b) 00322, Time: 3 units
(c) 00322, Time: 2 units
(d) 00322, Time: 4 units
Q.7 – A 68 yrs old patient for RT total knee Arthroplasty surgery. The surgeon requests for lumbar epidural catheter placement in addition to the general anesthesia. The anesthesiologist administered general anesthesia and also inserts a lumbar epidural catheter for postoperative pain management. The anesthesiologist performs postoperative pain management for one day. How would you report the Anesthesiologist services?
(a) 01402-AA, 62326, 01996
(b) 01402-AA, 01996
(c) 01400-AA, 62326, 01996
(d) 01400-AA, 62326
Q.8 – A 30 yrs old healthy female receives neuroaxial anesthesia for a planned vaginal delivery. However, as labor progresses, the fetus is experiencing distress, hence the physician decides to do a cesarean. The anesthesiologist was in attendance during labor for 3 hours and 40 min and during the subsequent delivery for 1 hour and 10 min. How would you report the
service?
(a) 01967-AA, 01968-AA, 220 minutes
(b) 01960-AA, 01961-AA, 290 minutes
(c) 01967-AA, 01968-AA, 290 minutes
(d) 01960-AA, 01961-AA, 220 minutes
Q.9 – A 63 years old patient met with accident diagnosed as RT hip dislocation. He is taken to the R and the plan is hip reduction under general anesthesia. The anesthesiologist begins preparing the patient at 10.15am. At 10.30am the patient is induced with anesthesia and the anesthesiologist is monitoring the patient’s vitals, ECG, Pulse oximetry, and Capnography. The surgeon begins the procedure at 10.45am and completes the procedure at 11.15am. The anesthesiologist monitors the patient until 11.30am and he releases the patient to the nurse for postoperative supervision. At 11.45am the patient is fully alert and taken to the ward. What is the total time should the anesthesiologist charge for?
(a) 45 min
(b) 1 hour and 15 min
(c) 60 min
(d) 1 hour and 30 min
Q.10 – What are the three classifications of anesthesia?
(a) General, Regional and Epidural
(b) General, Regional and Monitored Anesthesia Care
(c) General, MAC and Conscious Sedation
(d) General, Regional and Moderate Sedation
Q.11 – What modifier is used for medically directed CRNA services?
(a) QK
(b) QS
(c) QX
(d) QZ
Q.12 – What intraperitoneal organs are found in the lower abdomen?
(a) Appendix, cecum, ileum, and sigmoid colon
(b) Liver, appendix, gallbladder, ileum, sigmoid colon
(c) Gallbladder, cecum, spleen, ileum, sigmoid colon
(d) Spleen, liver, appendix, spleen, cecum
Q.13 – Using your CPT® Index, look up anesthesia for a cast application to the wrist. What CPT® code is reported for the anesthesia?
(a) 01860
(b) 01490
(c) 01130
(d) 01680
Q.14 – Using your CPT® Index, look up anesthesia for a shoulder arthroscopy, which became an open procedure, on the shoulder joint. What CPT® code is reported for the anesthesia?
(a) 01622
(b) 01630
(c) 01638
(d) 01682
Q.15 – Using your CPT® Index, look up anesthesia for a mediastinoscopy utilizing OLV (one lung ventilation). What CPT® code is reported for the anesthesia?
(a) 00528
(b) 00529
(c) 00540
(d) 00541
Q.16 – Using your CPT® Index, look up anesthesia for a tubal ligation. What CPT® code is reported for the anesthesia?
(a) 00840
(b) 00844
(c) 00846
(d) 00851
Q.17 – Report the appropriate anesthesia code for an obstetric patient who had a planned general anesthesia for cesarean hysterectomy.
(a) 01962
(b) 01963
(c) 01969
(d) 01967
Q.18 – What physical status modifier best describes a patient who is has a severe systemic disease that is a constant threat to life?
(a) P1
(b) P2
(c) P3
(d) P4
Q.19 – 22-year-old patient who has severe medical problems is placed under general anesthesia by ananesthetist for a service not usually requiring anesthesia. What modifier would be appended to the service?
(a) 22
(b) 47
(c) 23
(d) 52
Q.20 – Using your CPT® Index, look up anesthesia for an appendectomy. What CPT® code is reported for the anesthesia?
(a) 00790
(b) 00840
(c) 00860
(d) 00862
Q.21- Using your CPT® Index, look up anesthesia for a cholecystectomy. What CPT® code is reported for the anesthesia?
(a) 00790
(b) 00797
(c) 00840
(d) 00842
Q.22 – Using your CPT® Index, look for anesthesia for a complete removal of the penis, including removal of both the left and right inguinal and iliac lymph nodes. What CPT® code is reported for the anesthesia?
(a) 00932
(b) 00934
(c) 00936
(d) 00938
Q.23 – What is the appropriate code for a patient who had regional block anesthesia provided for carpal tunnel surgery?
(a) 20526
(b) 00400
(c) 01820
(d) 01810
Q.24 – What is/are the appropriate anesthesia code(s) for an obstetric patient who had neuraxial labor analgesia provided by the anesthesiologist? The delivery was expected to be a normal delivery; however, the obstetrician performed a cesarean delivery when the fetal heart rate dropped. What CPT® code(s) is/are reported for the anesthesia?
(a) 62319
(b) 01967
(c) 01968
(d) 01967, 01968
Q.25 – What time is used to report the start of anesthesia time?
(a) Surgery start time
(b) Entering the operating roomD
(c) During the pre-anesthesia assessment
(d) When the anesthesiologist begins to prepare the patient for anesthesia
Q.26.Using your CPT® Index, look for anesthesia for an insertion of a penile prosthesis performed in the perineal approach. What CPT® code is reported for the anesthesia services?
(a) 00932
(b) 00934
(c) 00936
(d) 00938
Q.27 – 42-year-old patient was undergoing anesthesia in an ASC and began having complications prior to the administration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance company requires a reported modifier, what modifier best describes the extenuating circumstances?
(a) 53
(b) 23
(c) 73
(d) 74
Q.28 – Anesthesia start time is reported as 7:14 am, and the surgery began at 7:26 am. The surgery finished at 8:18 am and the patient was turned over to PACU at 8:29 am, which was reported as the ending anesthesia time. What is the anesthesia time reported?
(a) 7:14 am to 8:18 am (64 minutes)
(b) 7:14 am to 8:29 am (75 minutes)
(c) 7:26 am to 8:18 am (52 minutes)
(d) 7:26 am to 8:29 am (63 minutes)
Q.29 – A pre-anesthesia assessment was performed and signed at 10:21 a.m. Anesthesia start time is reported as 12:26 pm, and the surgery began at 12:37 pm. The surgery finished at 15:12 pm and the patient was turned over to PACU at 15:26 pm, which was reported as the ending anesthesia time. What is the anesthesia time reported?
| a. 10:21 am to 15:12 pm (291 minutes) | b. 12:26 pm to 15:26 pm (180 minutes) |
| c. 12:26 pm to 15:12 pm (146 minutes) | d. 12:37 pm to 15:26 pm (169 minutes) |
Q.30 – Code 00350 Anesthesia for procedures on the major vessels of the neck; not otherwise specified has a base value of ten (10) units. The patient is a P3 status, which allows one (1) extra base unit. Anesthesia start time is reported as 11:02 am, and the surgery began at 11:14 am. The surgery finished at 12:34 am and the patient was turned over to PACU at 12:47 am, which was reported as the ending anesthesia time. Using fifteen-minute time increments and a conversion factor of $100, what is the correct anesthesia charge?
(a) $1,500.00
(b) $1,600.00
(c) $1,700.00
(d) $1,800.00
Q.31 – Code 00940, anesthesia for vaginal procedures, has a base value of three (3) units. The patient was admitted under emergency circumstances, qualifying circumstance code 99140, which allows two (2) extra base units. A pre-anesthesia assessment was performed and signed at 2:00 a.m. Anesthesia start time is reported as 2:21 am, and the surgery began at 2:28 am. The surgery finished at 3:25 am and the patient was turned over to PACU at 3:36 am, which was reported as the ending anesthesia time. Using fifteen-minute time increments and a conversion factor of $100, what is the correct anesthesia charge?
(a) $800.00
(b) $900.00
(c) $1,000.00
(d) $1,200.00
Q.32 – 94-year-old patient is having surgery to remove his parotid gland, with dissection and preservation of the facial nerve. The surgeon has requested the anesthesia department place an arterial line. What CPT® code(s) is/are reported for anesthesia?
(a) 00300, 36620
(b) 00100, 36620, 99100
(c) 00100, 99100
(d) 00400
Q.33 – 5- year-old patient is experiencing atrial fibrillation with rapid ventricular rate. The anesthesia department is called to insert a non-tunneled central venous (CV) catheter. What CPT® code is reported?
(a) 00400
(b) 36555
(c) 36556
(d) 36557
Q.34 – 43-year-old patient with a severe systemic disease is having surgery to remove an integumentary mass from his neck. What CPT® code and modifier are reported for the anesthesia service?
(a) 00300-P2
(b) 00300-P3
(c) 00322-P3
(d) 00350-P3
Q.35 – 30-year-old patient had anesthesia for an extensive spinal procedure with instrumentation under general anesthesia. The anesthesiologist performed all required steps for medical direction and was not medically directing any other services at the time. What modifier(s) and CPT® code(s) are reported for the anesthesiologist and CRNA services?
(a) 00670-AA
(b) 00670-QK and 00670-QX
(c) 00670-QK and 00670-QZ
(d) 00670-QY and 00670-QX
Q.36 – Mrs. Jones is a 90-year-old female having laparoscopic surgery on her gallbladder. Dr. Lot, the anesthesiologist for this case, documents she is a normal healthy person and begins to prepare the patient for surgery at 07:30 am. Surgery begins at 08:00 am. The surgery is concluded at 09:30 am. The anesthesiologist releases the patient to the PACU nurses at 09:45 am. How many minutes of anesthesia time transpired and what is the appropriate anesthesia code?
(a) 1 hr. 30 minutes, 00840-P1, 99100
(b) 2 hrs. 15 minutes, 00790-P1, 99100
(c) 1 hr. 30 minutes, 00700-P1, 99100
(d) 2 hrs. 15 minutes, 00700-P1, 99100
Q.37 – 40-year-old female in good physical health is having a laparoscopic tubal ligation. The anesthesiologist begins to prepare the patient for surgery at 08:30 am. Surgery begins at 09:00 am and ends at 10:00 am. The anesthesiologist releases the patient to recovery nurse at 1015. What is the total anesthesia time and anesthesia code?
(a) 1hr. 30 minutes, 00840
(b) 1hr. 45 minutes, 00851
(c) 1 hr. 00840
(d) 1 hr. 15 minutes, 00851
Q.38 – An 8-month-old has a simple Fontan procedure to repair his tricuspid atresia. During the procedure, the heart-lung machine is used. What are the correct CPT® and ICD-10-CM codes for this anesthesia service?
(a) 00561, Q22.4
(b) 00561, 99100, Q22.4
(c) 00561, 99100, 99116, Q22.3
(d) 00562, 99100, Q21.0
Q.39 – Mr. Johnson, age 82, having been in poor health with diabetes and associated peripheral neuropathy, is having a fem-pop bypass. The anesthesiologist documents he has severe systemic disease. What is/are the correct anesthesia code(s) for this patient?
(a) 01260-P2, 99100
(b) 01272-P3
(c) 01272-P2, 99100
(d) 01270-P3, 99100
Q.40 – A patient presents to OR for a craniotomy with evacuation of a hematoma. What is the CPT® code for the anesthesiologist’s services?
(a) 00210
(b) 61312
(c) 00211
(d) 61314
ANSWERS:
1-B , 2-C , 3-A , 4-D , 5-D , 6-D , 7-A , 8-C , 9-B , 10-B ,
11-C , 12-A , 13-A , 14-B , 15-B , 16-D , 17-B , 18-D , 19-B , 20-B ,
21-A , 22-C , 23-D , 24-D , 25-D , 26-D , 27-C, 28-B , 29-B , 30-D ,
31-C , 32-B , 33-C , 34-B , 35-D , 36-B , 37-B , 38-A , 39-D , 40-C
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