ANESTHESIA (0 series)
1)When does anesthesia time begin and end?
(a) Time begins when the anesthesiologist begins to prepare the patient for the induction of anesthesia in
the operating room or in an equivalent area. Time ends when the anesthesiologist is no longer in
personal attendance and when the patient may be safely placed under postoperative supervision
(b) Time begins when the anesthesiologist begins to prepare the patient for induction of anesthesia in the
operating room or chair side in a waiting area. Time ends when the patient can respond to simple
questions.
(c) Time begins when the anesthesiologist starts to prepare the patient for induction of anesthesia in the
operating room or in an equivalent area. Time ends when the anesthesiologist leaves the operating
room.
(d) Time begins when the patient is considered “under” anesthesia and ends when the surgery site is
closed.
2)Katherine is a 77-year-old patient with a severe hypertensive disease. She underwent a
cataract surgery to both eyes under general anesthesia. Dr.Sharon ,the
anesthesiologist, performed the anesthesia. Prior to induction of anesthesia Dr. Sharon
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. Sharon’s services?
(a) 00142-P2, 99100
(b) 00140-P3
(c) 00140-P3, 99100
(d) 00142-P3, 99100
3)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, 99100
(c) 00100, 36620, 99100
(d) 00400
4)A healthy 45-year-old is having a needle thyroid biopsy. The anesthesiologist begins to
prepare the patient for surgery at 0900. The surgery begins at 0915 and ends at 0945. The
anesthesiologist turns over the care of the patient to the recovery room nurse at 1000.
What is the appropriate anesthesia code and what is the anesthesia time?
(a) 00320, one hour
(b) 00320, 45 minutes
(c) 00322, 45 minutes
(d) 00322, one hour
5)A very large lipoma is removed from the chest measuring 8 sq cm and the defect is 12.2
cm requiring a layered closure with extensive undermining. MAC is performed by a
medically directed Certified Registered Nurse Anesthetist (CRNA). Code the anesthesia
service
(a) 00400-QS-QX
(b) 00400-QS
(c) 00300-QS
(d) 00300-QS-QX
6)Dr. Burns, a surgeon, provided regional anesthesia and completed an exploration for
postoperative hemorrhage in the neck on a 55-year-old patient with moderate
cardiovascular disease. How would Dr. Burns report his services for this case?
(a) 00350-P2, 35800
(b) 35800-47
(c) 00350-P2
(d) 00350-47
7)A surgeon performed a cervical approach esophagoplastywith repair of a
tracheosophageal fistula under general anesthesia. The surgeon performed both the
procedure and the anesthesia. How would you report these services?
(a) 00500, 43305
(b) 43305-47
(c) 00500-47
(d) BOTH A AND C
8)A 56-year-old receives general anesthesia for an open pleura biopsy. An
anesthesiologist medically directing two other cases, and medically directs a CRNA on
this case. What are the appropriate codes for both providers?
(a) 00540-AA, 00540-QZ
(b) 00540-AA, 00540-QK
(c) 00541-AA, 00540-QZ
(d) 00541-QK, 00541-QX
9) 59-year-old patient is having surgery on the pericardial sac, without use of a pump
oxygenator. The perfusionist placed an arterial line. What CPT® code(s) is/are reported
for anesthesia?
(a) 00560
(b) 00561
(c) 00560, 36620
(d) 00562
10)An anesthesiologist administers general anesthesia to a younger than one-year-old
healthy patient undergoing a mediastinoscopy. What code(s) capture the anesthesia
services?
(a) 00528-P1, 99100
(b) 00528, 99100-P1
(c) 00528
(d) 00528-P1
11)PREOPERATIVE DIAGNOSIS: Multivessel coronary artery disease. POSTOPERATIVE
DIAGNOSIS: Multivessel coronary artery disease. NAME OF PROCEDURE: Coronary
artery bypass graft x 3, left internal mammary artery to the LAD, saphenous vein graft to
the obtuse marginal, saphenous vein graft to the diagonal. The patient is placed on
heart and lung bypass during the procedure. Anesthesia time: 6:00 PM to 12:00 AM
Surgical time: 6:15 PM to 11:30 PM What is the correct anesthesia code and anesthesia
time?
(a) 00567, 6 hours
(b) 00566, 6 hours
(c) 00567, 5 hours and 30 min
(d) 00566, 5hours and 30 min
12)In a rural area, an otherwise healthy female patient presents to the local 25 bed
hospital with extreme upper abdominal pain. It is 2:30 in the morning and the surgeon
on call decides that she needs an emergency splenectomy. There is no anesthesiologist
present. The surgeon decides that there is no time to waste and he performs a total
splenectomy using an open technique. He personally administered general anesthesia.
How should this encounter be reported?
(a) 00790
(b) 00790-47
(c) 38100-AA
(d) 38100-47
13)An anesthesiologist provides general anesthesia for a 72-year-old patient with mild
systemic disease who is undergoing a ventral hernia repair. How would you report the
anesthesia service?
(a) 00834-P2, 99100
(b) 00832-P2, 99100
(c) 49560, 00834, 91000-P2
(d) 00832
14)A 42-year-old with renal pelvis cancer receives general anesthesia for a laparoscopic
radical nephrectomy. The patient has controlled type II diabetes otherwise no other co-
morbidities. What is the correct CPT® and ICD-9-CM code for the anesthesia services?
(a) 00860-P1, C64.9, E11.9
(b) 00840-P3, C65.9, E11.9
(c) 00862-P2, C65.9, E11.9
(d) 00868-P2, C79.00, E11.9
15)Anesthesia start: 12:18 Anesthesia end: 13:31 CRNA: John Sleep, CRNA (Non-Medically
Directed) ASA Physical status-III
Operative Report
Preoperative diagnosis: Stricture of the left ureter, postoperative
Postoperative diagnosis: SAME
Procedure: 1. Cystoscopy of ileal conduit.
2. Exchange of left nephroureteral catheter.
Anesthesia: Monitored anesthesia care.
Description of procedure: The patient is identified in the holding area, marked, taken to
the operating room. Subsequently, she was given monitored anesthesia care. She was
prepped and draped in the usual sterile fashion in the supine position. Next, using a
flexible cystoscope, the ileal conduit was entered. Cystoscopy was performed, which
showed the ureteroileal anastomosis on the left with a stent protruding from it. There
were no calcifications seen on the stent. Thus, the cystoscope was removed from the
ileal conduit and then a super stiff wire was advanced through the nephroureteral
catheter, up into the kidney. Once it was up there, then the catheter was taken off of the
wire and then a new 8-French x 28-centimeter, nephroureteral ureteral catheter was
advanced fluoroscopically into the level of the kidney.
Once it was up there, then the catheter was taken off of the wire and then a new 8-French
x 28-centimeter, nephroureteral ureteral catheter was advanced fluoroscopically into
the level of the kidney. Once this was done and its position was confirmed
fluoroscopically, the wire was pulled. A good curl was there fluoroscopically in the
kidney, as the wire was pulled. A good curl was seen in the bladder and then the distal
end was protruding out from the ileal conduit. This was placed in the ostomy bag and
the patient was taken in stable condition to the recovery room. What are the CPT® and
ICD-10-CM Codes reported for the CRNA?
(a) 00860-QS, QZ, P3, N13.5, 1hr 13 min
(b) 00840-QS, QZ, P3, N13.5, 1hr 13 min
(c) 00864-QS, QZ, P3, N13.9, 1hr 13 min
(d) 00860-P2, N13.5, 1hr 13 min
16)The anesthesiologist performed MAC (monitored anesthesia care) for a patient
undergoing an arthroscopy of the right knee. Code the anesthesia service.
(a) 01382-AA
(b) 01382-AA-QS
(c) 01400-AA
(d) 01400-AA-QS
17)A patient is having knee replacement surgery. The surgeon requests that in addition to
the general anesthesia for the procedure that the anesthesiologist also inserts a lumbar
epidural for postoperative pain management. The anesthesiologist performs
postoperative management for two postoperative days
(a) 01400-AA, 62326
(b) 01402-AA, 01996 x 2
(c) 01402-AA, 62326, 01996 x 2
(d) 01400-AA, 62326
18)A patient undergoes an amputation of his left foot due to gangrene. Which anesthesia
code best fits this procedure
(a) 01462
(b) 01520
(c) 01480
(d) 01482
19)A healthy 32-year-old with a closed distal radius fracture received monitored
anesthesia care for an ORIF of the distal radius. What is the code for the anesthesia
service?
(a) 01830-P1
(b) 01860-QS-P1
(c) 01830-QS-P1
(d) 01860-QS-G9-P1
20)patient with a third-degree burn of 54% of his body is being treated under anesthesia
for excision, debridement, and extensive skin grafting. The patient’s condition is listed
as severe, and he is not expected to survive without the operation. The operation is
further complicated by the emergency condition of the patient, and delaying this
procedure could lead to loss of body parts. How should the anesthesiologist report her
services with this procedure?
(a) 01952-P5, 01953-P5 x 5, 99140
(b) 01952-P5, 01953-P5
(c) 01951, 01952, 01953 x 4
(d) 01951, 01952, 01953 x 5, 99140-51
21)Anesthesia is administered, by an anesthesiologist, to a female patient with severe
systemic disease. She is scheduled to deliver via Cesarean section. The anesthesia is
for the delivery only. The delivery is uneventful with a healthy mother and baby at the
end of the procedure. What code(s) correctly capture the anesthesia services?
(a) 01961-P3
(b) 00850
(c) 01961-P2, 99100
(d) 01962
22)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) 10:21 am to 15:12 pm (291 minutes)
(c) 12:26 am to 15:12 pm (146 minutes)
(d) 12:37 am to 15:26 pm (169 minutes)
23)Which service is not included with anesthesia services?
(a) Swan-Ganz monitoring
(b) Administration of blood
(c) Blood pressure
(d) Mass spectrometry
24)Ms. Jones, an otherwise healthy 29 year-old, arrives at the hospital in an ambulance
because she has unexpectedly gone into labor. The CRNA quickly administers an
epidural under the direction of an anesthesiologist. Although Ms. Jones had planned to
deliver vaginally, after several hours of continued labor and minor complications, it
becomes apparent that vaginal delivery was too risky. The obstetrician performs a
cesarean delivery. The CRNA also provided the anesthesia for the cesarean delivery.
What code(s) should be used to report the CRNA’s anesthesia services?
(a) 01967-QY-P1, 01968-QY-P1
(b) 01967-QX-P1
(c) 01961-QX-P1
(d) 01968-QX-P1
25)A patient was placed under general anesthesia to have a simple incision and removal
of a foreign body from the subcutaneous tissue. This procedure usually requires local
anesthesia. Due to unusual circumstances, which required general anesthesia, what
modifier would best describe this situation?
(a) 47
(b) 22
(c) 23
(d) P6
