Chapter 16 Test Review
Question 1_4 out of 4 points
A 22 year-old patient who has severe medical problems is placed under general anesthesia by an
... [Show More] anesthetist for
a service not usually requiring anesthesia. What modifier would be appended to the service?
Selected Answer: b.
23
Correct Answer: b.
23
Response
Feedback:
Rationale: In the CPT® codebook go to Appendix A – Modifiers. Review the modifiers to
determine that modifier 23 is reported to indicate a procedure not usually requiring anesthesia
(either none or local) but due to unusual circumstances general anesthesia is necessary.
Question 2_4 out of 4 points
What modifier is used for medically-directed CRNA services?
Selected Answer: b.
QX
Correct Answer: b.
QX
Response
Feedback:
Rationale: In the HCPCS Level II codebook look for where the modifiers are listed and refer to
modifier QX. QX is the correct modifier for CRNA services when medically directed by a
physician.
Question 3_4 out of 4 points
What is the anesthesia code for a tubal ligation?
Selected Answer: b.
00851
Correct Answer: b.
00851
Response
Feedback:
Rationale: In the CPT® Index, look for Anesthesia/Fallopian Tube/Ligation or Anesthesia/Tubal
Ligation which directs you to 00851. Review the code in the numeric section to determine that
00851 describes the procedure.
Question 4_4 out of 4 points
Report the appropriate anesthesia code for an obstetric patient who had a planned general anesthesia for
cesarean hysterectomy.
Selected Answer: c.
01963
Correct Answer: c.
01963
Response
Feedback:
Rationale: Use the CPT® Index look for Anesthesia/Hysterectomy/Cesarean which directs you to
01963, 01969. Review the codes in the numeric section to determine that code 01963 is the
appropriate code. Note: Code 01969 is an add-on code and cannot be coded without a primary
procedure code.
Question 5_4 out of 4 points
What is the anesthesia code for a cast application to the wrist?
Selected Answer: b.
01860
Correct Answer: b.
01860
Response
Feedback:
Rationale: In the CPT® Index for Anesthesia/Cast Application/Forearm, Wrist and Hand
which directs you to 01860. Verify code selection in the numeric section.
Question 6_4 out of 4 points
The patient is receiving a cast change for a compound left trimalleolar fracture (ankle). What ICD-10-CM code
is reported?
Selected Answer: b.
S82.852D
Correct Answer: b.
S82.852D
Response
Feedback:
Rationale: In the ICD-10-CM Alphabetic Index look for Fracture, traumatic/ankle/trimalleolar
(displaced) which directs you to code S82.85-. In the Tabular List it indicates the code requires a
6
th character for the laterality and a 7th character for the episode of care. The 6th character 2 is
for the left ankle and the 7th character D is for subsequent care with routine healing. The
correct code is S82.852D. According to ICD-10-CM guideline, I.C.19.c., a fracture not indicated
whether displaced or not displaced should be coded to displaced. According to ICD-10-CM
guideline, I.C.19 [Show Less]