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, 99156, 99157 X 2 b. 00320, 99155, 99157 X 2
c. 93315, 99152, 99153 X 2 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 code for the anesthesia services?

A. 00860-P1 B. 00840-P3 C. 00862-P2 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, 62326 B. 01402-AA, 01996 x 2
C. 01402-AA, 62326-59, 01996 x 2 D. 01400-AA, 62326

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. 01173-P3, 99100 b. 27226, 01173-P3, 99100
c. 01173-P4, 99100-51 d. 01173-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. 99152, 99153 X 2 d. 58823, 99152, 99153

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 for otherwise healthy patient. 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 –AA, P2 X 3 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

CPC Question
31. What add-on code should you report in addition to the code for the primary anesthesia
procedure to describe anesthesia complicated by utilization of total body hypothermia?
a.99100 b.99116 c.99135 d.99140

32. What code should you report for anesthesia for open procedures involving the hip joint; total
hip arthroplasty?
a. 01202 b. 01210 c. 01212 d. 01214
33. What physical status modifier should coders append to describe a patient with a severe
systemic disease?
a.P1 b.P2 c.P3 d.P4

34. What code should you report for anesthesia for all closed procedures on the radius, ulna,
wrist, or hand bones?
a. 01820 b.01829 c.01830 d.01832

35. What code should you report for anesthesia for all open procedures on upper ends of the
tibia, fibula, and/or patella?
a.01390 b.01392 c.01400 d.01402

36. When reporting for an anesthesia service using CPT codes (00100-01999), which service is
not considered inherently included?
a. Administration of blood b. Electrocardiogram
c. Capnography d. Central venous catheter

37. An anesthesiologist administers general anesthetic to a patient undergoing an initial total hip
arthroplasty. The patient is a healthy 71-year-old man. What are the correct CPT code(s)?
a. 27130-47, 99100 b. 01214-P1, 99100-51
c. 01214-P1, 99100 d. 27130

38. A surgeon administers moderate sedation to a patient undergoing a diagnostic bronchoscopy

in his office. The patient is a healthy 30-year-old woman and the intraservice time is 30 minutes.
What are the correct CPT code(s) for moderate sedation?
a. 31622 b. 31622, 99152, 99153 c. 00520-P1 d. 99152, 99153

39. A cardiologist performs a pacemaker insertion with transvenous electrodes into the patient's
right atrium and ventricle in an ambulatory surgery center. The patient is a 50-year-old male with
severe coronary artery disease. A different physician administers moderate sedation for this
procedure. The intraservice time was 45 minutes. What are the correct CPT code(s) reported by
the physician administering the anesthesia?
a. 99156-P3, 99157-P3 b. 33208, 99156-P3, 99157-P3
c. Not separately reported d. 99156, 99157 X 2

40. A surgeon administers general anesthetic prior to performing a tympanostomy with a

ventilation tube. The patient is an otherwise healthy nine-year-old boy with recurrent otitis
media. What are the correct CPT code(s)?
a. 69436-P1 b. 00126-P1 c. 69436-47 d. 00120-P1

41. Which of the following physical status modifiers would you report for a patient with severe
systemic disease which is a constant threat to life?
a. P1 b. P2 c. P3 d. P4

42. If a provider administers anesthesia for procedures of the eye, specifically for a corneal
transplant, which of the following anesthesia codes would you report?
a. 00142 b. 00144 c. 00145 d. 00147
43. Code 00632 indicates that a provider administered anesthesia for which type of procedure in
the lumbar region?
a. Lumbar sympathectomy b. Chemonucleolysis
c. Diagnostic or therapeutic lumbar puncture d. Not specified

44. Which of the following anesthesia codes is not related to the upper abdomen?
a. 00730 b. 00752 c. 00790 d. 00802

45. If a patient receives anesthesia for a lower leg cast application, removal, or repair, which of
the following anesthesia codes would you report?
a. 01320 b. 01400 c. 01490 d. 01520