Anesthesia Questions

Sample/Practice/Free ANESTHESIA Coding Questions

1.      Which of the following physical status modifiers would you report for a patient with severe systemic disease?

A.    P1

B.     P2

C.     P3

D.    P4

2.      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

3.      Code 00632 indicates that a provider administered anesthesia for which type of procedure in the lumbar region?

A.    Lumbar sympathectomy

B.     Chemonucleoysis

C.     Diagnostic or thereapeutic lumbar puncture

D.    Not specified

4.      Which of the following anesthesia codes is not related to the upper abdomen?

A.    00730

B.     00752

C.     00790

D.    00802

5.      If a patient receives anesthesia for a lower leg cas application, removal, or repair, which of the following anesthesia codes would you report?

A.    01320

B.     01400

C.     01490

D.    01520

ANSWERS:

1             1.  C   2. B  3. A  4. D  5. C

Combining Forms

Medical Combining Forms - QUIZ

1)     The combining form "Adeno" means what?

A.    Adrenal Gland

B.     Artery

C.     Gland

D.    Vessel

2)     The combining form "Phlebo" means what?

A.    Phlegm

B.     Vein

C.     Vessel

D.    Pharynx

3)     The combining form "Myringo" means what?

A.    Eardrum

B.     Marrow

C.     Muslce

D.    Finger

4)     The combining form "Stoma" means what?

A.    Sternum

B.     Spleen

C.     Mouth

D.    Nose

5)     The combining form "Nephro" means what?

A.    Nose

B.     Kidney

C.     Nerve

D.    Tissue

6)     The combining form "Lacrimo" means what?

A.    Loin

B.     Lips

C.     Tears

D.    Lymph

7)     The combining form "Omphalo" means what?

A.    Navel Or Umbilicus

B.     Nose or Nasal Passage

C.     Tooth

D.    Eye

8)     The combining form "Glosso" means what?

A.    Jaw

B.     Stomach

C.     Knee

D.    Tongue

9)     The combining form "Chondro" means what?

A.    Hypochondria

B.     Wrist

C.     Cartilage

D.    Heart

10)The combining form "Sialo" means what?

A.    Sialo Vein

B.     Saliva

C.     Sacrum

D.    Mouth

Pleural Medical Terms

QUIZ on Pleural Medical Terminology

1)     The plural of "Foramen" is what?

A.    Foramini

B.     Foraminae

C.     Foramina

D.    Foraminas

2)     The plural of "Meatus" is what?

A.    Meatus

B.     Meatii

C.     Meatae

D.    Meata

3)     The plural of "Diverticulum" is what?

A.    Diverticuli

B.     Diverticulae

C.     Divertculas

D.    Diverticula

4)     The plural of "Ovum" is what?

A.    Ovis

B.     Ovas

C.     Ovae

D.    Ova

5)     The plural of "Uvula" is what?

A.    Uvula

B.     Uvulae

C.     Uvulum

D.    Uvulas

6)     The plural of "Trapezius" is what?

A.    Trapezii

B.     Trapezium

C.     Trapezius

D.    Trapezia

7)     The plural of "Fascia" is what?

A.    Fascii

B.     Fasciae

C.     Fascius

D.    Fascium

8)     The plural of "Adenoma" is what?

A.    Adenomi

B.     Adenomas

C.     Adenomata

D.    Adenomus

9)     The plural of "Cranium" is what?

A.    Crania

B.     Cranias

C.     Craniums

D.    Craniae

10)The plural of "Glomerulus" is what?

A.    Glomeruli

B.     Glomerulae

C.     Glomerulata

D.    Glomeruluses

Medical Abbreviations QUIZ

QUIZ on Medical Abbreviations:

1)     What is the abbreviation for "History?"

A.    Hx

B.     Hstry

C.     Hy

D.    Hxy

2)     What is the abbreviation for "Biopsy?"

A.    Bio

B.     Bpy

C.     Bx

D.    BOP   

         

3)     What is the abbreviation for "As needed?"

A.    Andd

B.     P.r.n

C.     A.n.

D.    As-ndd

4)     What is the abbreviation for "Congestive Cardiac Failure?"

A.    CCF

B.     CF

C.     CJV/cf

D.    C-CF

5)     What is the abbreviation for "Heart Rate?"

A.    H/R

B.     H-r

C.     Hr

D.    HR

6)     What is the abbreviation for "By Mouth?"

A.    B.m

B.     Per/m.

C.     P.o.

D.    BM

7)     What is the abbreviation for "Therapy?"

A.    Tx

B.     Txy

C.     Thy

D.    Tpy

8)     What is the abbreviation for "On Examination?"

A.    OnEx

B.     O/E

C.     OEX

D.    OEXn

9)     What is the abbreviation for "Tonsils & Adenoids?"

A.    TA

B.     T/A

C.     T&Ads

D.    T&A

10)What is the abbreviation for "Mitral Regurgitation?"

A.    MR

B.     MitReg

C.     M-R

D.    Mitral/R

Translaminar Vs. Transforaminal

Translaminar Vs. Transforaminal Injections - CPT Coding

62311 - Translaminar Injection CPT

ENCODER:

The patient is placed in a sitting or lateral decubitus position for the physician to insert a needle into the vertebral interspace of the lumbar or sacral region. The site to be entered is sterilized, local anesthesia is administered and the needle is inserted. Contrast media may be injected to confirm proper needle placement under fluoroscopy. The physician injects a solution to provide a therapeutic or diagnostic outcome. The solution is injected into the epidural or subarachnoid space. With the procedure complete the needle is removed and the wound is dressed.

AMA:

Description of Procedure:

An injection needle is directed into the subarachnoid or epidural space at the proper vertebral level, under x-ray fluoros-copy, as necessary. Care is taken to avoid damaging any nerve roots, cauda equina, or the spinal cord. A contrast injec-tion is performed as necessary to confirm the location of the needle tip or catheter and to determine the degree of free flow of liquid in the space to assure both safety and accuracy. The therapeutic injection(s) is performed through the same needle. The injection needle is removed and a sterile dressing applied.

64483 - Transforaminal Injection CPT

ENCODER:

The physician injects anesthetic and/or steroid into the epidural space using a transforaminal approach. This approach is used primarily in the treatment of herniated discs and requires separately reportable fluoroscopic direction. The injection may be performed on a single or multiple lumbar or sacral level. Report 64483 for a single level, report 64484 for each additional level.

AMA:

Description of Procedure:

Under intravenous anesthetic, the affected foramen is identified and the skin is infiltrated with a local anesthetic. A needle is directed lateral to midline under fluoroscopic guidance into the foramen. Both anteroposterior and oblique or lateral views are needed to get depth as well as an anterior and posterior position. Contrast injection is performed to confirm the location of the needle tip. Once this is completed, an anesthetic agent and/or steroid is injected. The injection needle is removed and a sterile dressing is applied.

ICD-9-CM Medical Necessity

ICD-9-CM CODING MEDICAL NECESSITY FOR DIAGNOSIS

ICD-9-CM AND MEDICAL NECESSITY

Ø  LCDs and NCDs

Ø  2012 OIG Work Plan

Ø  Official Guidelines for Coding and Reporting

ICD-9-CM AND MEDICAL NECESSITY – COMMONLY MISSED DIAGNOSIS

Ø  Signs and symptoms when appropriate

Ø  Chronic diseases when treated or managed

Ø  V codes for other factors influencing health status

ICD-9-CM AND MEDICAL NECESSITY – FIRST LISTED DIAGNOSIS

Ø  List first the code for the diagnosis, condition, problem, or other reason shown to be chiefly responsible for the services provided

Ø  Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a diagnosis has not been established

Ø  List first the code for the diagnosis, condition, problem, or other reason shown to be chiefly responsible for the services provided

Ø  Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a diagnosis has not been established.

ICD-9-CM AND MEDICAL NECESSITY – ADDITIONAL DIAGNOSIS

Ø  Code all documented conditions that coexist and require or affect patient care treatment or management

Ø  Chronic diseases may be coded and reported as many times as the patient receives treatment and care for the condition

Ø  For outpatient encounters for diagnostic tests that have been interpreted by a physician, and the final report is available at the time of coding, code any confirmed or definitive diagnoses documented in the interpretation. Do not code related signs and symptoms as additional diagnoses.

            V58.6x Long-term (current) drug use

·        Continuous use of a prescribed drug for long-term therapy or prophylaxis

·        Do not assign for medication administered for a brief period to treat an acute illness/injury (e.g., course of antibiotics to treat acute bronchitis)