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Qualifying-circumstances code 99140 is used to describe situations that are:


A) not covered by Medicare/Medicaid
B) emergencies
C) not otherwise reportable due to third-party payer guidelines
D) affected by the availability of an appropriate specialist

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When an anesthesiologist is supervising the concurrent anesthesia procedures of 2, 3, or 4 procedures involving qualified individuals it is denoted by using:


A) QZ
B) QX
C) AD
D) QK

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All of the following are not considered to be part of an anesthesia service and should be billed and coded in addition to the anesthesia service documented except:


A) Procedures performed for postoperative pain management
B) Insertion of an intra-arterial catheter
C) Insertion of central venous catheter
D) Administration of fluids and/or blood

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All of the following are considered part of the work of an anesthesia service and are not coded separately except:


A) Usual monitoring services
B) Insertion of Swan-Ganz
C) Administration of fluids and/or blood
D) Preoperative and postoperative visits

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A forty-six-year-old patient is waiting to be induced into anesthesia. Two CRNAs were originally scheduled to administer anesthesia to this patient, under supervision of an anesthesiologist. The CRNAs are still attending to another patient and the supervising anesthesiologist has to administer anesthesia for this patient. This would be reported using the following anesthesia-specific modifier:


A) AD
B) QY
C) QK
D) AA

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In the definition of qualifying-circumstance modifier 99100, "extreme age" is specified as:


A) Less than 6 months old and older than 75
B) Less than 1 year old and older than 70
C) Less than 6 months old and older than 70
D) Less than 1 year old and older than 75

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The units of value which are the beginning of the formula for assigning a cost/revenue value to an anesthesia service are:


A) base unit
B) relative value guide
C) medical direction
D) qualifying circumstances

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A normal, healthy patient is represented by physical-status modifier:


A) P1
B) P3
C) P4
D) P2

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Intubation is:


A) Physician involvement with and direction of anesthesia carried out by a qualified provider
B) The unit where the patient is monitored by a nurse specializing in postsedation care
C) Removal of a flexible tube previously placed in the trachea for airway management
D) Placement of a flexible tube into the trachea to maintain an open airway or allow for ventilation of the lungs during anesthesia

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Conscious, or moderate sedation codes are located in this section of the CPT manual:


A) Medicine
B) Surgery
C) Appendix C
D) Anesthesia

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Qualifying-circumstance modifier 99100 is defined as:


A) Anesthesia complicated by utilization of total body hypothermia
B) Anesthesia complicated by emergency conditions
C) Anesthesia for patient of extreme age: younger than 1 year old and older than 70
D) Anesthesia complicated by utilization of controlled hypotension

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The component of the reimbursement formula that begins when the patient is being prepared for anesthesia and ends when the patient is no longer being attended by the anesthesiologist is:


A) CPT code
B) Time
C) Base unit
D) Relative Value Unit

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What is the appropriate abbreviation for base units?


A) B
B) BaU
C) Bun
D) BU

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Qualifying-circumstances code 99140 is used to describe situations that are:


A) not otherwise reportable due to third-party payer guidelines
B) not covered by Medicare/Medicaid
C) emergencies
D) affected by the availability of an appropriate specialist

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One remaining surgical procedure is scheduled in the surgical suite for the day. The attending anesthesiologist prepares the day's documentation while remaining available for one CRNA that provides anesthesia administration for today's last case. When billing for this anesthesia service, the coder should use modifier _______ to describe the anesthesiologist's role in providing anesthesia.


A) QK
B) AA
C) AD
D) QY

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In the definition of qualifying-circumstance modifier 99100, "extreme age" is specified as:


A) Less than 1 year old and older than 75
B) Less than 1 year old and older than 70
C) Less than 6 months old and older than 75
D) Less than 6 months old and older than 70

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Physical-status modifier P1 signifies:


A) A patient with mild systemic disease
B) A declared-brain-dead patient whose organs are being removed for donor purposes
C) A normal, healthy patient
D) A patient with severe systemic disease

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99140 is the only qualifying-circumstances modifier that adds _____ additional units to the anesthesia CPT code to which it is appended:


A) 4
B) 2
C) 5
D) 3

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A patient with mild systemic disease is represented by physical-status modifier:


A) P5
B) P2
C) P4
D) P3

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A seventy-five-year-old patient is identified in the pre-op room and brought to the surgical suite for bypass coronary artery surgery. The anesthesia provided for this service would be described by the appropriate anesthesia CPT code and qualifying-circumstance modifier:


A) 99100
B) 99116
C) 99135
D) 99140

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