AAPC - Chapter 16 Practical Applications with expert interventions (Guaranteed Success)

AAPC - Chapter 16 Practical Applications with expert
interventions (Guaranteed Success)
CASE 1



CRNA performed anesthesia (Use Modifier QX to indicate CRNA services with medical direction
by a physician.)



Anesthesiologist medically directing two 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? - answer 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?