CPC Anesthesia Coding and Modifiers 2

Question 1

Which anesthesia modifier indicates that a CRNA provided anesthesia services without medical direction by a physician?

Accepted Answer

QZ

Answer

Modifier QZ is used when a CRNA performs anesthesia services without any medical direction from an anesthesiologist.

Question 2

A patient undergoes surgery requiring anesthesia and has severe systemic disease that is a constant threat to life. What ASA physical status does this represent?

Accepted Answer

P4

Answer

ASA P4 denotes a patient with a severe systemic disease that is a constant threat to life.

Question 3

How are anesthesia base units combined with time units to calculate an anesthesia fee?

Accepted Answer

Base units plus time units multiplied by conversion factor

Answer

Anesthesia payment = (base units + time units) × conversion factor.

Question 4

Which modifier is appended to anesthesia codes when a single anesthesiologist medically directs two to four concurrent CRNA cases?

Accepted Answer

QK

Answer

Modifier QK indicates the anesthesiologist is medically directing two to four concurrent procedures performed by CRNAs or other qualified individuals.

Question 5

A patient is brought to the OR emergently after a traumatic injury. Which qualifying circumstance add-on code reflects the emergency nature of the anesthesia?

Accepted Answer

99140

Answer

CPT 99140 is the qualifying circumstance code for emergency conditions that significantly complicate anesthesia administration.

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CPC Anesthesia Coding and Modifiers 2