Question 1

Preoperative and postoperative visits:

Accepted Answer

A)   May be coded separately from a routine anesthesia service
B)   Do not have separate CPT codes in the manual
C)   Are typically not coded separately from a routine anesthesia service
D)   Are only coded when procedures are performed for postoperative pain management

Question 2

Qualifying-circumstance modifiers can be used to describe all of the following scenarios except:

Accepted Answer

A)   emergency situations in which a history of previous anesthesia response is not available
B)   conditions under which a surgical procedure is performed
C)   extreme patient age
D)   amount of surgeries performed at one time

Question 3

99135 is a qualifying-circumstances modifier that describes:

Accepted Answer

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

Question 4

Which of the following physical-status modifiers do not add any additional units to an anesthesia code to which it/they are appended?

Accepted Answer

A)   P1 and P5
B)   P1, P2, and P6
C)   P2-P5
D)   P1, P2, and P5

Question 5

Qualifying-circumstance modifier 99116 adds how many additional units to an anesthesia code when appended?

Accepted Answer

A)   5
B)   3
C)   4
D)   6

Question 6

Qualifying-circumstance modifier 99116 describes anesthesia that is complicated by what condition being induced in the patient?

Accepted Answer

A)   Hypotension
B)   Hypertension
C)   Hypothermia
D)   Hyperthermia

Question 7

What is the appropriate abbreviation for base units?

Accepted Answer

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

Question 8

Physical-status modifier P3 represents:

Accepted Answer

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

Question 9

Modifiers which identify the provider or level of supervision provided by an anesthesiologist are located in:

Accepted Answer

A)   Tabular List
B)   Appendix A
C)   HCPCS Level II
D)   CPT (HCPCS Level I)

Question 10

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

Accepted Answer

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 70
D)   Less than 6 months old and older than 75

Question 11

MAC-specific modifier QS indicates:

Accepted Answer

A)   MAC for a patient who has a history of a severe cardiopulmonary condition
B)   MAC airway management
C)   MAC service with use of hypothermic induction
D)   MAC service

Question 12

An otherwise-healthy five-year-old patient is identified in the pre-op area and brought back for surgical tonsillectomy. What physical-status modifier(s)  and/or qualifying-circumstance modifier(s)  would be used?

Accepted Answer

A)   P1 and 99100
B)   P1, P6, and 99100
C)   P1
D)   P6 and 99100

Question 13

(T)  is the abbreviation for:

Accepted Answer

A)   Total modifying factors
B)   Total time of procedure
C)   Total base units
D)   Total time of anesthesia care

Question 14

A patient with severe systemic disease that is a constant threat to life is denoted by using the physical-status modifier:

Accepted Answer

A)   P4
B)   P5
C)   P6
D)   P3

Question 15

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:

Accepted Answer

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

Question 16

Qualifying-circumstance modifier 99100 is defined as:

Accepted Answer

A)   Anesthesia complicated by utilization of controlled hypotension
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 total body hypothermia

Question 17

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:

Accepted Answer

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

Question 18

Reporting time as well as base units for the primary anesthesia service allows for capture of what?

Accepted Answer

A)   Any modifying circumstances that would signify an increase in reimbursement
B)   Additional work provided by the surgeon
C)   Physical status and qualifying circumstances
D)   Additional work provided by the anesthesiologist

Question 19

Medical direction, as it applies to anesthesia services, is:

Accepted Answer

A)   Physician involvement with and direction of anesthesia carried out by a qualified provider
B)   Preparing a surgical site for tracheotomy carried out by a qualified provider
C)   Formal treatment planning between the surgical provider and anesthesia provider
D)   CRNA formulation of an anesthesia treatment plan

Question 20

A patient with severe systemic disease that is a constant threat to life is denoted by using the physical-status modifier:

Accepted Answer

A)   P5
B)   P6
C)   P4
D)   P3

Exam 6: Anesthesia

99135 is a qualifying-circumstances modifier that describes:

Correct AnswerverifiedShow Answer

Qualifying-circumstance modifier 99100 is defined as:

Correct AnswerverifiedShow Answer

Qualifying-circumstance modifier 99116 describes anesthesia that is complicated by what condition being induced in the patient?

Correct AnswerverifiedShow Answer

Qualifying-circumstance modifiers can be used to describe all of the following scenarios except:

Correct AnswerverifiedShow Answer

A patient with severe systemic disease that is a constant threat to life is denoted by using the physical-status modifier:

Correct AnswerverifiedShow Answer

What is the appropriate abbreviation for base units?

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

Modifiers which identify the provider or level of supervision provided by an anesthesiologist are located in:

Correct AnswerverifiedShow Answer

Medical direction, as it applies to anesthesia services, is:

Correct AnswerverifiedShow Answer

Preoperative and postoperative visits:

Correct AnswerverifiedShow Answer

Physical-status modifier P3 represents:

Correct AnswerverifiedShow Answer

A patient with severe systemic disease that is a constant threat to life is denoted by using the physical-status modifier:

Correct AnswerverifiedShow Answer

(T) is the abbreviation for:

Correct AnswerverifiedShow Answer

MAC-specific modifier QS indicates:

Correct AnswerverifiedShow Answer

An otherwise-healthy five-year-old patient is identified in the pre-op area and brought back for surgical tonsillectomy. What physical-status modifier(s) and/or qualifying-circumstance modifier(s) would be used?

Correct AnswerverifiedShow Answer

Qualifying-circumstance modifier 99116 adds how many additional units to an anesthesia code when appended?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Reporting time as well as base units for the primary anesthesia service allows for capture of what?

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

Which of the following physical-status modifiers do not add any additional units to an anesthesia code to which it/they are appended?

Correct AnswerverifiedShow Answer

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