Chapter 11: CPT Anesthesia UPDATED
ACTUAL Questions and CORRECT
Answers
Instructions: Review each case and assign the appropriate anesthesia code(s), provider-type
modifier(s), and physical status modifier(s). Make sure you assign qualifying circumstance
code(s) where appropriate. All anesthesia services were provided by the anesthesiologist, which
means that modifier AA is added to each anesthesia code as the provider-type modifier. Some
cases require assignment of CPT surgery codes and appropriate modifier(s) per chapter content
about anesthesia coding guidelines. Please be aware that when an answer consists of more than
one code, there will be an answer blank for each code.
Head: A 77-year-old healthy male patient with controlled diabetes mellitus underwent intraocular
lens transplant surgery for which general anesthesia was administered. - CORRECT
ANSWER - Check My Work Feedback
For code 00142 AA P2, go to CPT index main term Anesthesia, subterm Eye, and qualifier Lens.
Verify the code in the Head subsection of the Anesthesia section. Add modifiers AA (Anesthesia
services performed personally by anesthesiologist) and P2 (Patient with mild systemic disease).
For code 99100, go to CPT index main term Anesthesia, subterm Special Circumstances, and
qualifier Extreme Age. Verify the code in the Qualifying Circumstances subsection of the
Medicine section.
nstructions: Review each case and assign the appropriate anesthesia code(s), provider-type
modifier(s), and physical status modifier(s). Make sure you assign qualifying circumstance
code(s) where appropriate. All anesthesia services were provided by the anesthesiologist, which
means that modifier AA is added to each anesthesia code as the provider-type modifier. Some
cases require assignment of CPT surgery codes and appropriate modifier(s) per chapter content
about anesthesia coding guidelines. Please be aware that when an answer consists of more than
one code, there will be an answer blank for each code.
Head: A five-year-old healthy child was admitted to the pediatrics floor of an acute care hospital
and underwent tympanostomy for which general anesthesia was administered - CORRECT
ANSWER - For code 00120 AA P1, go to CPT index main term Anesthesia and subterm
Tympanostomy. Verify the code in the Head subsection of the Anesthesia section. Add modifiers
AA (Anesthesia services performed personally by anesthesiologist) and P1 (Normal healthy
patient).
, Neck: A nine-month-old healthy patient underwent emergency tracheostomy under general
anesthesia after having sustained injuries in a motor vehicle accident. The child lost
consciousness for 60 minutes after the accident and required cardiopulmonary resuscitation. -
CORRECT ANSWER - For code 00326 AA P5, go to CPT index main term Anesthesia
and subterm Trachea. Review codes in the Neck subsection of the Anesthesia section and select
the appropriate code. Add modifiers AA (Anesthesia services performed personally by
anesthesiologist) and P5 (Moribund patient who is not expected to survive without the
operation).
For code 99140, go to CPT index main term Anesthesia, subterm Special Circumstances, and
qualifier Emergency. Verify the code in the Qualifying Circumstances subsection of the Medicine
section.
Note: The description of code 00326 states "Anesthesia for all procedures on the larynx and
trachea in children younger than 1 year of age," which means Qualifying Circumstances code
99100 is not assigned.
Neck: A 47-year-old patient with a history of hypertension underwent a partial thyroid lobectomy
due to a thyroid tumor. General anesthesia was administered. - CORRECT ANSWER - For
code 00320 AA P2, go to CPT index main term Anesthesia and subterm Thyroid. Review codes
in the Neck subsection of the Anesthesia section and select the appropriate code. Add modifiers
AA (Anesthesia services performed personally by anesthesiologist) and P2 (Patient with mild
systemic disease).
Thorax (Chest Wall and Shoulder Girdle): A 33-year-old healthy construction worker fell from a
ladder onto a wooden platform and was brought into the emergency room and diagnosed with a
concussion; there was no loss of consciousness. The patient went to the operating room for the
complicated removal of wood from skin of the left shoulder. The patient received general
anesthesia. - CORRECT ANSWER - For code 00400 AA P1, go to CPT index main term
Anesthesia and subterms Integumentary System, and qualifier Shoulder. Verify the code in the
Thorax (Chest Wall and Shoulder Girdle) subsection of the Anesthesia section. Add modifiers
AA (Anesthesia services performed personally by anesthesiologist) and P1 (Normal healthy
patient).
Thorax (Chest Wall and Shoulder Girdle): A 14-year-old otherwise healthy child is admitted to
the pediatric ward with chest pain, shortness of breath, and possible lordosis. After examination,
the diagnosis of pectus excavatum was made. The child had the condition corrected with an open
procedure under general anesthesia. - CORRECT ANSWER - For code 00474 AA P1, go
to CPT index main term Anesthesia and subterm Pectus Excavatum. Verify the code in the
Thorax (Chest Wall and Shoulder Girdle) subsection of the Anesthesia section. Add modifiers
ACTUAL Questions and CORRECT
Answers
Instructions: Review each case and assign the appropriate anesthesia code(s), provider-type
modifier(s), and physical status modifier(s). Make sure you assign qualifying circumstance
code(s) where appropriate. All anesthesia services were provided by the anesthesiologist, which
means that modifier AA is added to each anesthesia code as the provider-type modifier. Some
cases require assignment of CPT surgery codes and appropriate modifier(s) per chapter content
about anesthesia coding guidelines. Please be aware that when an answer consists of more than
one code, there will be an answer blank for each code.
Head: A 77-year-old healthy male patient with controlled diabetes mellitus underwent intraocular
lens transplant surgery for which general anesthesia was administered. - CORRECT
ANSWER - Check My Work Feedback
For code 00142 AA P2, go to CPT index main term Anesthesia, subterm Eye, and qualifier Lens.
Verify the code in the Head subsection of the Anesthesia section. Add modifiers AA (Anesthesia
services performed personally by anesthesiologist) and P2 (Patient with mild systemic disease).
For code 99100, go to CPT index main term Anesthesia, subterm Special Circumstances, and
qualifier Extreme Age. Verify the code in the Qualifying Circumstances subsection of the
Medicine section.
nstructions: Review each case and assign the appropriate anesthesia code(s), provider-type
modifier(s), and physical status modifier(s). Make sure you assign qualifying circumstance
code(s) where appropriate. All anesthesia services were provided by the anesthesiologist, which
means that modifier AA is added to each anesthesia code as the provider-type modifier. Some
cases require assignment of CPT surgery codes and appropriate modifier(s) per chapter content
about anesthesia coding guidelines. Please be aware that when an answer consists of more than
one code, there will be an answer blank for each code.
Head: A five-year-old healthy child was admitted to the pediatrics floor of an acute care hospital
and underwent tympanostomy for which general anesthesia was administered - CORRECT
ANSWER - For code 00120 AA P1, go to CPT index main term Anesthesia and subterm
Tympanostomy. Verify the code in the Head subsection of the Anesthesia section. Add modifiers
AA (Anesthesia services performed personally by anesthesiologist) and P1 (Normal healthy
patient).
, Neck: A nine-month-old healthy patient underwent emergency tracheostomy under general
anesthesia after having sustained injuries in a motor vehicle accident. The child lost
consciousness for 60 minutes after the accident and required cardiopulmonary resuscitation. -
CORRECT ANSWER - For code 00326 AA P5, go to CPT index main term Anesthesia
and subterm Trachea. Review codes in the Neck subsection of the Anesthesia section and select
the appropriate code. Add modifiers AA (Anesthesia services performed personally by
anesthesiologist) and P5 (Moribund patient who is not expected to survive without the
operation).
For code 99140, go to CPT index main term Anesthesia, subterm Special Circumstances, and
qualifier Emergency. Verify the code in the Qualifying Circumstances subsection of the Medicine
section.
Note: The description of code 00326 states "Anesthesia for all procedures on the larynx and
trachea in children younger than 1 year of age," which means Qualifying Circumstances code
99100 is not assigned.
Neck: A 47-year-old patient with a history of hypertension underwent a partial thyroid lobectomy
due to a thyroid tumor. General anesthesia was administered. - CORRECT ANSWER - For
code 00320 AA P2, go to CPT index main term Anesthesia and subterm Thyroid. Review codes
in the Neck subsection of the Anesthesia section and select the appropriate code. Add modifiers
AA (Anesthesia services performed personally by anesthesiologist) and P2 (Patient with mild
systemic disease).
Thorax (Chest Wall and Shoulder Girdle): A 33-year-old healthy construction worker fell from a
ladder onto a wooden platform and was brought into the emergency room and diagnosed with a
concussion; there was no loss of consciousness. The patient went to the operating room for the
complicated removal of wood from skin of the left shoulder. The patient received general
anesthesia. - CORRECT ANSWER - For code 00400 AA P1, go to CPT index main term
Anesthesia and subterms Integumentary System, and qualifier Shoulder. Verify the code in the
Thorax (Chest Wall and Shoulder Girdle) subsection of the Anesthesia section. Add modifiers
AA (Anesthesia services performed personally by anesthesiologist) and P1 (Normal healthy
patient).
Thorax (Chest Wall and Shoulder Girdle): A 14-year-old otherwise healthy child is admitted to
the pediatric ward with chest pain, shortness of breath, and possible lordosis. After examination,
the diagnosis of pectus excavatum was made. The child had the condition corrected with an open
procedure under general anesthesia. - CORRECT ANSWER - For code 00474 AA P1, go
to CPT index main term Anesthesia and subterm Pectus Excavatum. Verify the code in the
Thorax (Chest Wall and Shoulder Girdle) subsection of the Anesthesia section. Add modifiers
