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AAPC - Chapter 16 Practical Applications

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AAPC - Chapter 16 Practical Applications CASE 1 CRNA performed anesthesia (Use Modifier QX to indicate CRNA services with medical direction by a physician.) Anesthesiologist medically directing t... wo cases (Use modifier QK to indicate medical direction of two cases.) Anesthesia Time: 9:30 to 10:06 Physical Status 3 (Physical status 3 - use P3 modifier.) PREOPERATIVE DIAGNOSIS: Cyst on knee POSTOPERATIVE DIAGNOSIS: Baker's Cyst (Use post-operative diagnosis.) PROCEDURE: Excision of Baker's Cyst, knee (Excision is an open procedure and is performed on the knee.) ANESTHESIA: Monitored Anesthesia Care (MAC services require QS modifier.) What are the CPT® and ICD-10-CM Codes reported for the Anesthesiologist? What are the CPT® and ICD-10-CM Codes reported for the CRNA? What is the time reported for this service? - ✔✔00140-QK-QS-P3 M71.20 001400-QX-QS-P3 M71.20 36 CASE 2 Anesthesiologist personally performed (Personally performed by anesthesiologist—use AA modifier.) Anesthesia Time: 7:12 to 10:08 (Time is 176 minutes.) Physical Status 2 (Physical status 2, use P2 modifier.) PREOPERATIVE DIAGNOSIS: Suspected Prostate Cancer POSTOPERATIVE DIAGNOSIS: Prostate Carcinoma (Post-operative diagnosis.) PROCEDURE: Radical Retropubic Prostatectomy (Procedure performed. Make note the procedure is "radical.") ANESTHESIA: General (General anesthesia.) What are the CPT® and ICD-10-CM Codes reported for the Anesthesiologist? CPT® code(s): [a] ICD-10-CM code(s): [b] What is the time reported for this service? - ✔✔00865-AA-P2 C61 176 CASE 3 Non-medically directed CRNA (CRNA services without medical direction require modifier QZ.) performed anesthesia care and documented intra-operative placement of continuous femoral nerve catheter for post operative pain. (Anesthesia and intraoperative placement of continuous femoral nerve catheter.) Anesthesia Time: 7:18 to 9:10 (Time calculates to 1 hour 52 minutes, or 112 minutes.) Physical Status 3 (Physical status 3 requires P3 modifier.) PREOPERATIVE DIAGNOSIS: Left Knee Osteoarthritis POSTOPERATIVE DIAGNOSIS: Left Knee Osteoarthritis, localized primary, (Primary diagnosis is specified as Left Knee Osteoarthritis, localized, primary.) Acute post-operative pain (Diagnosis of Acute post-operative pain gives medical necessity for the intra-operative placement of continuous femoral nerve catheter.) PROCEDURE: Total Knee Arthroplasty (The procedure is total knee arthroplasty NOT Arthroscopy, which carries a lower base value.) ANESTHESIA: General anesthesia (Anesthesia provided is general.) provided for surgery, Surgeon requested post-operative pain management via continuous femoral catheter What are the CPT® and ICD-10-CM Codes reported for the CRNA? [Show More]

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