Anesthesia
1. 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
2. Dr. Member performed a transesophageal echocardiography for a congenital cardiac condition on a
16-year-old patient. Prior to the probe placement, moderate conscious sedation was administered. The
probe was placed, images acquired, interpretation and reports were completed in the provider’s office.
This procedure lasted 45 minutes. What code(s) capture the services performed by Dr. Member?
a. 93315, 99144, 99145
b. 00320, 99144, 99145
c. 93315
d. 93315-P1
3. 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. 99203, 00142-P2, 99100
b. 66820, 00144
c. 00140-P1, 99116-59
d. 00142-P3, 99100
4. A surgeon performed a cervical approach esophagoplasty with 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
5. Which service is not included with anesthesia services?
a. Swan-Ganz monitoring
b. Administration of blood
c. Blood pressure
d. Mass spectrometry
6. 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
7. 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
C. 00862-P2
B. 00840-P3
D. 00868-P2
8. 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
9. A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is the
appropriate anesthesia code?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100
10. A 6-month-old patient is administered general anesthesia to repair a cleft palate. What anesthesia
code(s) should be used for this procedure?
A. 00170, 99100
B. 00172
C. 00172, 99100
D. 00176
11. A 50-year-old female had a left subcutaneous mastectomy for cancer. She now returns for
reconstruction which is done with a single TRAM flap. Right mastopexy is done for asymmetry. Code the
anesthesia for this procedure.
A. 00404
B. 00402
C. 00406
D. 00400
12. A patient is having knee replacement surgery. The surgeon requests that in addition to the general
anesthesia for the procedure that the anesthesiologist also insert a lumbar epidural for postoperative
pain management. The anesthesiologist performs postoperative management for two postoperative
days.
A. 01400-AA, 62319
B. 01402-AA, 01996 x 2
C. 01402-AA, 62319, 01996 x 2
D. 01400-AA, 62319
13. 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
14.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 minutes
D. 00566, 5 hours and 30 minutes
15. 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-QK, 00540-QX
C. 00541-AA, 00540-QZ
D. 00541-QK, 00541-QX
16. The anesthesiologist performs an axillary block for postoperative pain management. The patient
receives general anesthesia for a carpal tunnel release. What are the appropriate codes?
A. 01810
B. 01810, 64417
C. 01810, 64417-59
D. 01830, 64417-59
17. 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
18. Patient is admitted in labor for delivery. She received a labor neuraxial epidural for a vaginal
delivery. The baby goes into fetal distress and a cesarean section is performed. Following delivery the
patient starts to hemorrhage. The physician decides, with family approval, to perform a hysterectomy.
Code the anesthesia services.
A. 01967, 00840
B. 01962
C. 01968
D. 01967, 01969
19. Angiograms reveal three artery blockages. The patient has COPD, which is a severe systemic disease.
The patient undergoes a CABG X 3 venous grafts on cardiopulmonary bypass and cell saver. Code the
anesthesia service.
A. 00562-P3
B. 00560-P4
C. 00567-P3
D. 00566-P4
20. A healthy 11-month-old patient with bilateral cleft lip and palate undergoes surgery. The surgeon
performs a bilateral cleft lip repair, single stage. Code the anesthesia service.
A. 00170-P1, 99100
B. 00102-P1
C. 00102-P1, 99100
D. 00170-P1
21. 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
22. General anesthesia is administered to a 9-month-old undergoing a tracheostomy. Code the
anesthesia service.
A. 00320, 99100
B. 00320
C. 00326
D. 00326, 99100
23. An anesthesiologist provided general anesthesia for open repair of a fractured pelvis column
involving the acetabulum for a 74-year-old patient. Further documentation for this patient includes
severe hypertension and uncontrolled diabetes. How should the anesthesiologist report her services?
a. 01190-P3, 99100
b. 27226, 01190-P3, 99100
c. 01190-P4, 99100-51
d. 01170-P4
24. 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
25. Why should the add-on code 99100 for qualifying circumstances not be reported with the following
codes: 00326, 00561, 00834, and 00836?
a. Age of the patient is not a factor with any anesthesia codes or add-on codes
b. Age of the patient as older than 70 years is part of the code; therefore, it does not require the add-on
code
c. Age of child as older than 1 year is part of the code; therefore, it does not require the add-on code
d. Age of child as younger than 1 year is part of the code; therefore, it does not require the add-on code
26. A patient undergoing a cervical surgery received general anesthesia for a procedure performed in a
sitting position. The patient is 54 years old and healthy, aside from the current cervical problem. How
should the anesthesiologist report his services?
a. 00604
b. 00600-P1
c. 00604-P1
d. 00620
27. A patient underwent drainage of a pelvic abscess via transvaginal approach. The patient was under
moderate sedation for the procedure, which was provided by the same operating physician. The
intraservice time was clocked at 45 minutes. How should the sedation services be reported for this
procedure?
a. 58823, 00940
b. 00940-P2
c. 58823
d. 58823-P2
28. According to the anesthesia guidelines, what forms of monitoring are not included or bundled with
anesthesia services?
a. Intra-arterial
b. Central venous
c. Swan-Ganz
d. All of the above.
29. Dr. Will, an anesthesiologist, provided three days of hospital management for epidural continuous
drug administration. These services were performed after insertion of the epidural catheter. How should
Dr. Will report these days of care?
a. 01996-P1 x 3
b. 01996
c. 64999-P1
d. 64999
30. A 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