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Question 1:
Anesthesia start time is reported as 7:14 am. and the surgery began at 7:26 am.
The surgery finished at 8:18 am and the patient was turned over to PACU at 8:29
am. which was reported as the ending anesthesia time. What is the anesthesia
time reported?

• 7:26 am to 8:29 am (63 minutes

• 7:26 am to 8:18 am (52 minutes)
• 7:14 am to 8:18 am (64 minutes)
7:14 am to 8:29 am (75 minutes)

e 82. having been in poor health with diabetes and associated

a hy. is having a fem-pop bypass. The anesthesiologist
documents systemic disease. What code(s) is/are correct for
anesthesia?

• 01272-P3

• 01272-P2.99100
• 01260-P2.99100
• 01270-P3.99100

Question 3:
A patient presents to the OR for a craniotomy with evacuation o
What CPT® code is reported for the anesthesiologist's services?

• 00211
• 61314
• 00210

• 61312

Question 4:
A 72 year-old patient is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. What CPT® code and
modifier(s) are reported for anesthesia?

• 00144-AA-QS,99100
 • 00144, 99100
• 00144 QK-QS, 99100
• 00144 AA, 99100

Question 5:
What is the anesthesia code for a cholecystectomy?

• 00790
• 00797
• 00840
• 00842

Question 6:
Mrs. Jones is a 90 year-old female having laparo surgery on her
gallbladder. Dr. Lot, the anesthesiologist for this case, do she is a normal
healthy person and begins to prepare the patient for surg
Surgery begins at 08:00 am. The surgery is concluded at
anesthesiologist releases the patient to the PACU nurses at 09:45 am
minutes of anesthesia time transpired and what is the appropriate
code?

c: 2 hrs. 15 minutes, 00700-Pl, 99100

•
r 2 hrs. 15 minutes, 00790-Pl, 99100 '
•
• 1 hr. 30 minutes, 00840-Pl, 99100
• 1 hr. 30 minutes, 00700-Pl, 99100

Question 7:
A 42 year-old patient was undergoing anesthesia in an ASC and began having
complications prior to the administration of anesthesia_ The surgeon
immediately discontinued the planned surgery. If the insurance company
requires a reported modifier. what modifier best describes the extenuating
circumstances?

• 23
• 73
• 74
• 53
Question 8:
What are the three classifications of anesthesia?

• General, MAC and Conscious Sedation

• General, Regional and Moderate Sedation
•
c: General, Regional and Epidural
• General, Regional and Monitored Anesthesia Care

Question 9:
code for an appendectomy?

• 00862
• 00840
r
• 00860
• 00790

Question 10:
A 43 year-old patient with a severe systemic disease is havi
an integumentary mass from his neck. What CPT® code
reported for the anesthesia service?

• 00350-P3
• 00322-P3
• 00300-P3
•
«: 00300-P2

Question 11:
A preanesthesia assessment was performed and signed at 10:21 am. Anesthesia
start time is reported as 12:26 pm. and the surgery began at 12:37 pm. The
surgery finished at 15:12 pm and the patient was turned over to PACU at 15:26
pm. which was reported as the ending anesthesia time. What is the anesthesia
time reported?

• 10:21 am to 15:12 pm (291 minutes)

• 12:26 pm to 15:26 pm (180 minutes)
•
c: 12:26 pm to 15:12 pm (166 minutes)
• 12:37 pm to 15:26 pm (169 minutes)
 Question 12:
What anesthesia code(s) should be assigned for an obstetric patient who had
neuraxial labor analgesia provided by the anesthesiologist when the delivery was
expected to be a nor111al vaginal delivery but the obstetrician perfor111ed a
cesarean delivery when the fetal heart rate dropped?

• 01967.01968
• 01967
• 01968
62319

AS ient is experiencing atrial fibrillation with rapid ventricular rate.

111ent is called to insert a nontunneled central venous (CV)
reported?

• 00400
• 36556
• 36557
• 36555

Question 14:
A 59 year-old patient is having surgery on the pericardia! sa
pu111p oxygenator. The perfusionist placed an arterial line. Wha
is/are reported for anesthesia?
I 00562
•
• 00561
• 00560
• 00560, 36620

Question 1 5:
What is the anesthesia code for an insertion of a penile prosthesis perfor111ed via
a perinea! approach?

• 00932
• 00934
 • 00936
• 00938

Question 16:
A 40 year-old female in good physical health is having a laparoscopic tubal
ligation. The anesthesiologist begins to prepare the patient for surgery at 08:30
am. Surgery begins at 09:00 am and ends at 10:00 am. The anesthesiologist
releases the patient to recovery nurse at 101 S. What is the total anesthesia time
and anesthesia code?

• 1 hr. 30 minutes, 00840

• 1 hr., 00840
• 1 hr. 15 minutes, 00851
• 1 hr. 45 minutes, 00851

Question
A 30 ye tient had anesthesia for an extensive spinal procedure with
instrumentati general anesthesia. The anesthesiologist performed all
required steps for e irection while directing one CRNA. What modifier(s)
and CPT® code(s) is/ar rt ct for the anesthesiologist and CRNA services?

- 00670-AA vtS>
c:
-
•
00670-QK and 00670-QX
00670-QY and 00670-QX

- r 00670-QK and 00670-QZ

Question 18:
A 94 year-old patient is having surgery to remove his paroti n
dissection and preservation of the facial nerve. The surgeon has reque
anesthesia department place an arterial line. What CPT® code(s) is/are repo
for anesthesia?

• 00100,36620,99100
• 00400
• 00300,36620
• 00100,99100
Question 1:
Anesthesia start time is reported as 7:14 am. and the surgery began at 7:26 am.
The surgery finished at 8:18 am and the patient was turned over to PACU at 8:29
am. which was reported as the ending anesthesia time. What is the anesthesia
time reported?

• 7:26 am to 8:29 am (63 minutes

• 7:26 am to 8: 18 am (52 minutes)
• 7:14 am to 8:18 am (64 minutes)

• 7:14 am to 8:29 am (75 minutes) (Correct)

Exp Ian
ANS: D
uidelines in the CPT® codebook under the subheading
begins when the anesthesiologist begins to prepare

start time
15 minutes or 75
anesthesia time.

Question 2:
Mr. Johnson. age 82. having been in poor health with nd associated
peripheral neuropathy. is having a fem-pop bypass.
documents he has severe systemic disease. What code(s) is/a
anesthesia?

• 01272-P3
• 01272-P2.99100
• 01260-P2.99100
• 01270-P3. 99100 (Correct)

Explanation
ANS: D
Rationale: Fem-pop bypass is an abbreviation for femoral-popliteal bypass of arteries
in the upper leg. Look in the CPT® Index for Anesthesia/Bypass Graft/Leg, Upper
which directs you to code 01270. Review the code in numeric section to determine
the correct code is 01270. The qualifying circumstance code 99100 is added to
indicate the extreme age of the patient. Physical status modifier P3 indicates the
patient has severe systemic disease.

Question 3:
A patient presents to the OR for a craniotomy vvith evacuation of a hematoma.
What CPT® code is reported for the anesthesiologist's services?

• 00211 (Correct)
• 61314

• 00210

•
Explanatio
ANS: A

Review the numeric section to deter e correct code

verbiage for the evacuation of a hematom . � •
Question 4: '/� •
A 72 year-old patient is undergoing a corneal tra-:.s'- nesthesiologist is
personally performing monitored anesthesia care. CPT. code and
modifier(s) are reported for anesthesia?

• 00144-AA-QS. 99100 (Correct)

• 00144.99100
• 00144 QK-QS. 99100

• 00144 AA, 99100

Explanation

ANS: A

Rationale: In the HCPCS Level II codebook locate where the HCPCS Level II Modifiers
are listed. An anesthesiologist who is personally performing services reports the
service with a modifier AA and when the service performed is Monitored Anesthesia
Care (MAC) modifier QS is also reported. The modifiers are sequenced first by the
anesthesia provider then the MAC modifier which are attached to the appropriate
anesthesia code. The Qualifying Circumstances add-on code 99100 is assigned for
extreme age of the patient being older than 70 years of age.
Question 5:
What is the anesthesia code for a cholecystecto111y?

- 00790 (Correct)

- 00797

- 00840

- 00842

o CPT® Index under Anesthesia, you will not see the term
cholecys ·c isted. Look for Anesthesia/Abdomen/lntraperitoneal which directs
you to coder '790-00797, 00840-00851. Review the codes in numeric section
to determine that 7 0 is the correct code. Note: The coder needs to know
that cholecystectomy ef<\(5" t allbladder and that the lntraperitoneal Organs of
the Upper Abdomen includes th ladder. Hint - Often, reviewing the surgical
code can aid in determining the a ��fa pr�cedure, and in some cases, there
will be illustrations of the procedure. .,�

Question 6:
Z
IVlrs_ Jones is a 90 year-old fe111ale havin copic surgery on her
gallbladder_ Dr_ Lot, the anesthesiologist for this cas nts she is a normal
healthy person and begins to prepare the patient for a•••-
Surgery begins at 08:00 a,,,_ The surgery is concluded a The
anesthesiologist releases the patient to the PACU nurses at 09:45
111inutes of anesthesia time transpired and what is the appropriate
code?

- 2 hrs. 15 minutes, 00700-P1, 99100

- 2 hrs. 1 5 minutes, 00790-P1, 99100 (Correct)

- 1 hr. 30 minutes, 00840-P1, 99100

- 1 hr. 30 minutes, 00700-P1, 99100

Explanation
ANS: B

Rationale: Per Anesthesia Guidelines in the CPT® codebook under the subheading
Time Reporting: Anesthesia time begins when the anesthesiologist begins to prepare
the patient for anesthesia in the operating room (or an equivalent area) and ends
when the anesthesiologist is no longer in personal attendance, that is, when the
patient may be safely placed under postoperative supervision. In this case the start
time is 07:30 am and the end time is 09:45 am equaling a total of 2 hours and 15
minutes or 145 minutes of total anesthesia time. In the CPT® Index look for
Anesthesia/Abdomen/lntraperitoneal which directs you to code ranges 00790-00797.
00840-00851. Review the numeric section to determine that the correct code is
00790 as the gallbladder is located behind the liver in the upper abdomen. The
physical status modifier is P1 for a normal healthy patient and the Qualifying
Circumstances due to the patient age of 90 should be coded to 99100. The correct
reporting for this procedure is 00790-Pl. 99100 for 2 hrs. 15 minutes.

A
�
estion 7:
ear-old patient was undergoing anesthesia in an ASC and began having
co pli t <>- s prior to the administration of anesthesia. The surgeon
immed1 disco tinued the planned surgery. If the insurance company
requires a reps, edifier. what modifier best describes the extenuating
circumstances?

• 23
• 73
• 74
• 53 (Correct)

Explanation

ANS: C

Rationale: In the CPT® codebook go to Appendix A and look for the subheacli g.
Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use
Review the modifiers to determine that modifier 73 best describes an anesthesia
service discontinued prior to administration of anesthesia in an ASC.

Question 8:
What are the three classifications of anesthesia?

• General, MAC and Conscious Sedation

• General, Regional and Moderate Sedation

• General, Regional and Epidural

• General, Regional and Monitored Anesthesia Care (Correct)

Explanation
ANS: D

Rationale:An epidural is a type of regional anesthesia.Moderate or conscious

sedation is typically provided by the same physician performing the service sedation
supports and requires the presence of an independent observer to monitor the
patient

Question 9:
\IVhat is the anesthesia code for an appendectomy?

• 00862
00840 (Correct)

•
Explanation
ANS: B

Rationale: In the CPT® Index und� t i'esia you will not see the terms appendix

which directs you to code ranges 00790-00 , 0-00851. Review the codes in
numeric section to determine that code 00840 1s c rrect ode. Note: The coder
needs to know the lntraperitoneal Organs of the L"wer
appendix.

Question 1 0:
A 43 year-old patient with a severe systemic disease is having
an integumentary mass from his neck.. \IVhat CPT® code
reported for the anesthesia service?

• 00350-P3

• 00322-P3

• 00300-P3 (Correct)

• 00300-P2

Explanation
ANS: C

Rationale: Look in the CPT® Index for Anesthesia/Neck which directs you to codes
00300, 00320-00322, 00350-00352 or Anesthesia/lntegumentary System/Neck which
directs you to code 00300. Refer to the numeric section to determine that code
00300 is the correct code. Review the Anesthesia Guidelines in the CPT® codebook
to determine that Physical Status Modifier P3 may be reported for a patient with
severe systemic disease. The correct code is 00300-P3.

Question 11:
A preanesthesia assess111ent was performed and signed at 10:21 am. Anesthesia
start time is reported as 12:26 pm. and the surgery began at 12:37 pm. The
surgery finished at 15:12 p,11 and the patient was turned over to PACU at 15:26
p,11, which was reported as the ending anesthesia time. What is the anesthesia
ti, 11e reported?

10:21 am to 15:12 pm (291 minutes)

15:26 pm (180 minutes) (Correct)

• (166 minutes)

• 12: (169 minutes)

Explanation

ANS:B rq • •
Rationale Per Anesthesia Guidelines in tU
Time Reporting: Anesthesia time begins when
Ze
·odebook under the subheading
esiologist begins to prepare
the patient for anesthesia in either the operating r (or equivalent area) and
ends when the anesthesiologist is no longer in personal that is, when the
patient may be safely placed under postoperative supervision. tart time
(12:26) and the anesthesia end time (1 5:26) calculates as 3 hours
total anesthesia time.

Question 12:
What anesthesia code(s) should be assigned for an obstetric patient who
neuraxial labor analgesia provided by the anesthesiologist when the delivery was
expected to be a nor111al vaginal delivery but the obstetrician performed a
cesarean delivery when the fetal heart rate dropped?

• 01 967. 01 968 (Correct)

- 01967

-
•
01968
62319

Explanation
ANS: A
Rationale: In the CPT® Index under Anesthesia/Neuraxial/Labor which directs you to
code range 01967-01969. Review the codes in the numeric section to determine that
codes 01967. 01968 are the correct codes. Code 01967 describes the initial service
without the cesarean delivery. Code 01968 is an add-on code which adds the
cesarean delivery. Add-on codes must be coded in conjunction with the primary
code and cannot be coded alone. The correct codes are 01967. 01968.

Question 13:
A S year-old patient is experiencing atrial fibrillation with rapid ventricular rate.
The anesthesia depart111ent is called to insert a nontunneled central venous (CV)
atheter. What CPT® code is reported?

•
-
- 36555

Explanation

ANS: B

Rationale: The coder should note that this is ral anesthesia service so a
code from the Anesthesia Section of CPT® would ropriate. In the CPT®
Index look for Catheterization/Central Venous whicn ntral Venous
Catheter Placement. Look for Central Venous Catheter
Placement/Insertion/Central/Non-tunneled which directs you to c 36556.
Review the numeric section to determine the correct code is 36556 for
patient. Note: The coder should note the type of insertion and the age
to make the correct choice of codes.

Question 14:
A 59 year-old patient is having surgery on the pericardia! sac. without use of a
pu111p oxygenator. The perfusionist placed an arterial line. What CPT® code(s)
is/are reported for anesthesia?

- 00562

- 00561

- 00560 (Correct)

- 00560.36620

Explanation
ANS: C

Rationale: In the CPT® Index look for Anesthesia/Heart which directs you to codes
00560-00567, 00580 or look for Anesthesia/lntrathoracic System which directs you to
multiple code ranges. Refer to the numeric section to determine 00560 is the correct
code without use of a pump oxygenator. The arterial line placement is NOT reported
because the service was not provided by the anesthesiologist.

Question 1 5:
What is the anesthesia code for an insertion of a penile prosthesis perfor11,ed via
a perinea! approach?

00932

-
- 00938

Explanation

ANS: D
/-.-:::::>
..._,,/,. - -
Rationale: In the CPT® Index look for Anest � which directs you to code
range 00932-00938. Review the code range ,n to determine
00938 is the appropriate code selection.
Question 16:
A 40 year-old female in good physical health is having a ro tubal
ligation. The anesthesiologist begins to prepare the patient for su g :30
am. Surgery begins at 09:00 am and ends at 10:00 a,,,. The anesthe io o
releases the patient to recovery nurse at 1 01 S. What is the total anesthesia
and anesthesia code?

- 1 hr. 30 minutes, 00840

- 1 hr., 00840

- 1 hr. 1 5 minutes, 00851

- 1 hr. 45 minutes, 00851 (Correct)

Explanation

ANS: D

Rationale: Per Anesthesia Guidelines in the CPT® codebook under the subheading
Time Reporting: Anesthesia time begins when the anesthesiologist begins to prepare
 the patient for anesthesia in the operating room (or an equivalent area) and ends
when the anesthesiologist is no longer in personal attendance, that is, when the
patient may be safely placed under postoperative supervision. In this case the start
time is 08:30 am and the end time is 10:1 5 am equaling a total of 1 hour and 45
minutes or 105 minutes of total anesthesia time. In the CPT<I!> Index look for
Anesthesia/Tubal Ligation which directs you to code 00851. Review the code in
numeric section to determine that 00851 is the correct code.

Question 17:
A 30 year-old patient had anesthesia for an extensive spinal procedure with
stru11,entation under general anesthesia. The anesthesiologist performed all
uired steps for medical direction while directing one CRNA. What 11,odifier(s)
P.T® code(s) is/are reported for the anesthesiologist and CRNA services?

- 0
-
• (Correct)

• 00670-QK and 0067

Explanation
ANS: C

Rationale: In the CPT<I!> Index look for Anesthesia/Spinal which

directs you to code 00670. Review code in the numeric sectio siologist
who is medically directing care reports their service separately fro A,
depending on the number of concurrent cases and the appropriate mo ,
distinction. Because there was only one case, the appropriate modifiers to re
QY for the physician and QX for the CRNA. A QZ modifier would indicate the cas
was performed by a non-medically directed CRNA. Refer to your HCPCS Level II
I codebook to verify these anesthesia modifiers.

Question 1 8:
A 94 year-old patient is having surgery to re,,,ove his parotid gland with
dissection and preservation of the facial nerve. The surgeon has requested the
anesthesia department place an arterial line. What CPT® code(s) is/are reported
for anesthesia?

• 00 1 00, 3 6620, 991 00 (Correct)

• 00400

• 00300,36620
 - 00100,99100

Explanation
ANS: A

Rationale: In the CPT® Index look for Anesthesia/Salivary Glands vvhich directs you
to code 00100. Reference the code in the numeric section to confirm that 00100 is
the correct code. Hint - Coders may need to use the Surgery Section to determine
that the parotid gland is included in the salivary glands. The arterial line placement is
NOT included in the base value and may be reported separately vvith code 36200. In
A e CPT® Index look for Catheterization/Arterial System/Percutaneous. Due to
,� 1 's advanced age of 94, qualifying circumstance add-on code 99100 is also
u thermore, the patient's age implies he is on Medicare, therefore vve do
tatus Modifiers as they are not accepted .
• )lit. -
Question 19: C�
What is the anest e · or a co111plete re111oval of the penis .. including
re111oval of both the le inguinal and iliac lymph nodes?

- 00938 rq/..·
- 00934

- 00936 (Correct)

- 00932

Explanation
ANS: C

Rationale: In the CPT® Index look for Anesthesia/Penis vvhich directs you to codee,._,,.
,
range 00932-00938. Revievv the codes in the numeric section to determine 00936
fully describe the procedure and it is the correct code.
Question 20:
An anesthesiologist is medically supervising six cases- What 111odifier is reported
for the CRNA's medically directed service?

- r-- AD

- QZ

- QK

- QX (Correct)