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Chapter 9 Modifiers, Chapter 11 Anesthesia Chapter 25 Medicine

T/F- Types of anesthesia?

True: General, Reginal,Local, Moderate (conscious)

T/F- Local anesthesia produces general sedation?

False: Local affects the area and general is an unconscious state

T/F- Epidural anesthesia?

True: Injection of an anesthetic agent into the epidural spaces between the vertebrae also known as peridural epidural or epidural block

T/F- Lidocain is a form of local anesthesia?

True: Lidocain is applied directly on the area involved

Blood Patch?

False: Cererospinal fluid leak is closed by means of an injection of the Pt. blood into the epidura; space at or near the area of the dural puncture

Anesthesia time begins?

When the anesthesiologist begins preparing the Pt. to receive anesthesia and is on constatn attendance with the Pt. and ends when Pt. is turned over to post anesthesia caregivers

Modifiers what are they used for?

Modifiers are used for bilatera, multiple, services greater than ususally required

Concurrent care modifier?

Indicates how many cases an anesthesiologist was performing or supervising at one time

Modifier -57?

Report E/M and Ophthalmologic codes

Modifer -79?

Pt. required surgery, postoperative, for condition unrelated to the 1st surgery

Modifier -51?

Multiple requires surgery / More than one procedure may be performed

Modifier -80?

Surgical assistant is one who provides services to the primary surgeon during a surgical procedure

Modifier -32?

Required by some third party entity / Mandated service

Modifier -25?

On a day when another service was provided to the Pt. by the same physician

Modifier -78?

Pt. is returned to the operating room for surgical treatment of a complication that resulted from the first procedure

Modifier -58?

Notifies the payer that a subsequent surgery was planned or staged at the time of the first surgery

Anesthesia section CPT manual procedure codes are divided first by?

Anatomic site, then by specific type of procedure

Anesthesia formula?

Based unit +Time units + Modifying units (B+T+M) X Conversion Factor (B + T + M X C.F)

Which codes begin with the number 99 and used to indicate anesthesia services provided during situations that make the administration of the anesthesia more difficult?

Qulaifying Circumstances code "adjunct codes"

Mutiple modifiers is indicated with which modifier?

99

Established Pt. is given an immunization during an office visit, and the only service provided was the immunization, what type of codes would you use to report the service?

Administration and Code itself

Introduction of liquid into the body over a long period of time?

Intravenous fusion

What must be documented in a Pt. record, which is the major billing factor for Psychiatric Pt.?

Time must be documented

Outpatient dialysis services are reported on this basis when there is no interruption in the schedule?

Monthly

HCPCS are not used in which setting?

Inpatient care

Type of codes used for drugs administered other than orally?

J Codes

Osteopathic manipulative treatment?

Body region: head, cervical, thoracic, lumbar, sacral, pelvic region, lower extremities, upper extremities, rib cage, abdomen, and viscera region

Low body temperature induced surgical procedures?

Hypothermia

P1,P2,P3,P4,P5,and P6 are all?

Physical status modifiers

Basic value of an anesthesia service are based on?

Comparison of anesthesia service to each other

Anesthesia billing purpose, time is typically described as?

Units/15 minutes equal 1 unit or 4 units equal 1 hour

Anesthesia claim uses modifiers -AA third-party payer knows?

The anesthesia services performed personally by an anesthesiologist

Modifier -22?

A-> a 500lbs man under goes a hernia repair

Anesthesiologist would bill an emergency with code?

99140 due to emergency with complications

Passive immunization?

Does not cause immune response:

Active immunization?

Produces an immune response that builds protection against disease

Selective debridement?

Remove necrotic tissue only (dead tissue)

Nonselective debridement?

Healthy tissue is removed along with necrotic tissue

OMT?

Osteopathic Manipulative Treatment is a form of manual treatment applied by a physician to eliminate or alleviate somatic dysfunction and related disorders

CMT?

Chiropractic Manipulative Treatment is the manipulation of the spinal column and otehr structures

Optokinetic?

Movement of the eye to objects moving in the visual field

Myasthenia?

Syndrome characterized, Muscular weakness

Modality?

Treatment method

Actinotherapy?

Treatment of acne using ultraviolet rays

Photochemotherapy?

Treatment by means of drugs that react to ultrviolet radiation or sunlight

Tonography?

Record of changes in intraocular pressure in response to sustained pressure on the eyeball

Tonometry?

Intraocular pressure / tension

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