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Anesthesia Coding and Modifiers Flashcards

7 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient is moribund and not expected to survive without the operation. Which ASA physical status applies?

    Answer: P5

    ASA P5 is a moribund patient who is not expected to survive without the operative intervention.

  2. Which modifier is used by a CRNA when services are medically directed by an anesthesiologist?

    Answer: QX

    Modifier QX is appended to CRNA claims when the CRNA is under the medical direction of a physician anesthesiologist.

  3. Which anesthesia add-on code applies when services are provided to a patient under age 1 year?

    Answer: 99100

    CPT 99100 is the qualifying circumstance for anesthesia provided to patients younger than one year of age.

  4. What is the purpose of the anesthesia conversion factor?

    Answer: It translates total anesthesia units into a dollar reimbursement amount

    The conversion factor is a dollar amount per unit used to calculate total anesthesia reimbursement from combined base and time units.

  5. Which CPT code series covers anesthesia for procedures on the upper abdomen?

    Answer: 00700–00797

    CPT codes 00700–00797 are designated for anesthesia services related to procedures on the upper abdomen.

  6. A patient is brought emergently from the ICU and the anesthesiologist notes the case involves utilization of a pump oxygenator. Which qualifying circumstance code applies?

    Answer: 99116

    CPT 99116 is the qualifying circumstance for anesthesia complicated by the utilization of controlled ventilation via a pump oxygenator (cardiopulmonary bypass).

  7. When an anesthesiologist provides anesthesia and is also the surgeon performing the procedure, what coding rule applies?

    Answer: Anesthesia is bundled into the surgical code and not billed separately

    When the operating surgeon also provides the anesthesia, the anesthesia service is considered part of the global surgical package and is not separately reportable.