Anesthesia services are based on ____________time the patient is under the anesthesiologist's care. Calculation of units of time is determined by the third-party payer.
begins preparing the patient to receive anesthesia, continues through the procedure, and ends when the patient is no longer under the personal care of the anesthesiologist.
Anesthesia time begins when the anesthesilogist ___________________and continues ______________ the procedure, and ends when ______________________________________________
According to the Anesthesia Guidelines, what is the one modifier that is not used with anesthesia procedures? _______ (no hyphen)
What type of circumstance identifies a component of anesthesia service that affects the character of the service?
complex, combined total (or total time)
According to the Anesthesia Guidelines, the Separate or Multiple Procedures section, when multiple surgical procedures are performed during a single anesthetic administration, the anesthesia code representing the most ____________ procedure is reported and the time reported is the ________________ or _________________ for all procedures.
Is it true that a physician who personally administers the anesthesia to the patient upon whom he or she is operating cannot bill the third-party payer? (if True, why; if False, why, AND is there any additional information you might want to add?)
Relative Value Guide (RVG)
What is the name of the guide that is published by the American Society of Anesthesiologists and provdides the weights of various anesthesia services?
The subsections in the Surgery section are usually divided according to ___________.
medical specialty or body system or anatomical site.
These are found at the beginning of each section and contain information specific to he section.
Before assigning this type of code, you must be certain that a more specific Category I or a Category III code is not available.___________
This report contains the nature, extent, need, time, effort, and at times equipment necessary to provide a service. ________
This designation within the CPT manual indicates a proedure that is only reported when it is performed as the only procedure or when another procedure performed at the same time is unrelated to this procedure. This is a ______procedure.
______anesthesia is defined as local infiltration, metacarpal/digital block, or topical anesthesia.
According to Medicare guidelines, ______ complications of a surgical procedure are usually included in the reimbursement of major surgical procedure.
Which physician subspecialty can report the codes from the Musculoskeletal System subsection?
List the three types of fracture treatments and briefly describe each:
1.Closed: the fracture site is not opened to view. 2.Open: the fracture site is opened to the surgeon's view or remotely opened.
3.Percutaneous skeletal fixation: neither open nor closed but where pins, screws, or other fixation is placed into the fracture through the skin.
What is the term that describes the physician's actions of bending, rotation, pulling, or guiding the bone back into place?
The CPT manual ofter reflects the technologic advances made in medicine with these codes
Category 3 Codes
The CPT manual is ever changing and is updated annually to feflect techonolgic advances and editorial
what is the name of a 2 digit number or a digit and a number that is located after the CPt code number and provides more detail about the code
when using an unlisted or category 3 code, third party payers usually require the submission of what
A complete list of codes designated with the symbol that indicates a product is pending FDA approval is listed in this appendix of the CPT mannual
when more that two physicians with technicians and specialized equipment work together to complete a complicated procedure and each physician has a specific portion of the surgery to complete they are termed what
Modifier indicates an increased service and is oversued and results in an increase in payment of 20% to 30%
when modifier 54 is assigned payment for the_____ portion of the surgical procedure is being requested
three factors a coder must consider when coding are patient
place of service, type of service, and patient status
what term is used to describe a patient who has been formally admitted to a hospital
hospital inpatient services
what are three things that are considerded components of wound repair
ligation, exploration, debridement
the mafour distinction in coding destruction of lesions is whether the lesion is
benign or malignant