Anesthesia Practice Question

Q.1 – Mr. John is an 89 yrs old patient with severe hypertension. He underwent a
B/L cataract surgery under general anesthesia. Dr. Ken, the anesthesiologist,
performed the anesthesia. Prior to induction of anesthesia Dr. Ken has completed
a preoperative visit and documented a detailed history, detailed examination,
and low complexity decision making on this new patient. How would you report
Dr. Ken’s services?
(a) 99203, 00142-P2, 99100
(b) 00142-P3, 99100
(c) 00140-P1, 99100
(d) 66820, 00144, 99100

Q.2 – A 48 yr old patient receives general anesthesia for an open procedure

pleura biopsy, an anesthesiologist medically directs three other cases and
medically directs a CRNA in this case. What are the appropriate codes for both
providers?
(a) 00540-AA, 00540-QZ
(b) 00541-QK, 00540-QX
(c) 00540-QK, 00540-QX
(d) 00541-AA, 00540-QZ

Q.3 – A 38 yrs old female patient in good physical health is undergoing a

laparoscopic tubal ligation surgery. The anesthesiologist begins to prepare the
patient for surgery at 09.30 am and the surgery begins at 10.00 am and ends at
11.00 am. The anesthesiologist releases the patient to recovery nurse at 11.15
am. What is the total anesthesia time?
(a) 1hr 45 min
(b) 1hr
(c) 1hr 15 min
(d) 1hr 30 min

Q.4 – A 55 yrs old patient, lipoma is removed from his chest wall measuring 6sq
cm and the defect is 9sq cm requiring an intermediate closure. MAC is performed
by a medically directed CRNA (Certified registered nurse anesthetist). How would
you report the anesthesia service?
(a) 00400 – QS, QZ
(b) 00300 – QS, QZ
(c) 00300 – QS, QX
(d) 00400 – QS, QX

Q.5 – An anesthesiologist provides general anesthesia for an 82 yrs old patient

with hypertension who is undergoing a ventral hernia repair. How would you
report the anesthesia service?
(a) 00834-P2, 99116
(b) 49560, 00834-P2, 99100
(c) 00832-P2, 99116
(d) 00832-P2, 99100

Q.6 – A 40 yrs old patient is undergoing percutaneous thyroid biopsy. The

anesthesiologist beings to prepare the patient for surgery at 10.00am. And the
surgery begins at 10.15am, and the surgery ends at 10.45am. The
anesthesiologist hand over the patient care to the recovery room nurse at
11.00am. How would you report the service and total time in units?
(a) 00320, Time: 4 units
(b) 00322, Time: 3 units
(c) 00322, Time: 2 units
(d) 00322, Time: 4 units

Q.7 – A 68 yrs old patient for RT total knee Arthroplasty surgery. The surgeon
requests for lumbar epidural catheter placement in addition to the general
anesthesia. The anesthesiologist administered general anesthesia and also
inserts a lumbar epidural catheter for postoperative pain management. The
anesthesiologist performs postoperative pain management for one day. How
would you report the Anesthesiologist services?
(a) 01402-AA, 62326, 01996
(b) 01402-AA, 01996
(c) 01400-AA, 62326, 01996
(d) 01400-AA, 62326

Q.8 – A 30 yrs old healthy female receives neuroaxial anesthesia for a planned
vaginal delivery. However, as labor progresses, the fetus is experiencing
distress, hence the physician decides to do a cesarean. The anesthesiologist was
in attendance during labor for 3 hours and 40 min and during the subsequent
delivery for 1 hour and 10 min. How would you report the
service?
(a) 01967-AA, 01968-AA, 220 minutes
(b) 01960-AA, 01961-AA, 290 minutes
(c) 01967-AA, 01968-AA, 290 minutes
(d) 01960-AA, 01961-AA, 220 minutes

Q.9 – A 63 years old patient met with accident diagnosed as RT hip dislocation.
He is taken to the R and the plan is hip reduction under general anesthesia. The
anesthesiologist begins preparing the patient at 10.15am. At 10.30am the
patient is induced with anesthesia and the anesthesiologist is monitoring the
patient’s vitals, ECG, Pulse oximetry, and Capnography. The surgeon begins the
procedure at 10.45am and completes the procedure at 11.15am. The
anesthesiologist monitors the patient until 11.30am and he releases the patient
to the nurse for postoperative supervision. At 11.45am the patient is fully alert
and taken to the ward. What is the total time should the anesthesiologist charge
for?
(a) 45 min
(b) 1 hour and 15 min
(c) 60 min
(d) 1 hour and 30 min
Q.10 – What are the three classifications of anesthesia?
(a) General, Regional and Epidural
(b) General, Regional and Monitored Anesthesia Care
(c) General, MAC and Conscious Sedation
(d) General, Regional and Moderate Sedation
Q.11 – What modifier is used for medically directed CRNA services?
(a) QK
(b) QS
(c) QX
(d) QZ
Q.12 – What intraperitoneal organs are found in the lower abdomen?
(a) Appendix, cecum, ileum, and sigmoid colon
(b) Liver, appendix, gallbladder, ileum, sigmoid colon
(c) Gallbladder, cecum, spleen, ileum, sigmoid colon
(d) Spleen, liver, appendix, spleen, cecum
Q.13 – Using your CPT® Index, look up anesthesia for a cast application to the
wrist. What CPT® code is reported for the anesthesia?
(a) 01860
(b) 01490
(c) 01130
(d) 01680
Q.14 – Using your CPT® Index, look up anesthesia for a shoulder arthroscopy,
which became an open procedure, on the shoulder joint. What CPT® code is
reported for the anesthesia?
(a) 01622
(b) 01630
(c) 01638
(d) 01682
Q.15 – Using your CPT® Index, look up anesthesia for a mediastinoscopy utilizing
OLV (one lung ventilation). What CPT® code is reported for the anesthesia?
(a) 00528
(b) 00529
(c) 00540
(d) 00541
Q.16 – Using your CPT® Index, look up anesthesia for a tubal ligation. What
CPT® code is reported for the anesthesia?
(a) 00840
(b) 00844
(c) 00846
(d) 00851
Q.17 – Report the appropriate anesthesia code for an obstetric patient who had a
planned general anesthesia for cesarean hysterectomy.
(a) 01962
(b) 01963
(c) 01969
(d) 01967
Q.18 – What physical status modifier best describes a patient who is has a severe
systemic disease that is a constant threat to life?
(a) P1
(b) P2
(c) P3
(d) P4
Q.19 – 22-year-old patient who has severe medical problems is placed under
general anesthesia by ananesthetist for a service not usually requiring
anesthesia. What modifier would be appended to the service?
(a) 22
(b) 47
(c) 23
(d) 52
Q.20 – Using your CPT® Index, look up anesthesia for an appendectomy. What
CPT® code is reported for the anesthesia?
(a) 00790
(b) 00840
(c) 00860
(d) 00862
Q.21- Using your CPT® Index, look up anesthesia for a cholecystectomy. What
CPT® code is reported for the anesthesia?
(a) 00790
(b) 00797
(c) 00840
(d) 00842
Q.22 – Using your CPT® Index, look for anesthesia for a complete removal of the
penis, including removal of both the left and right inguinal and iliac lymph nodes.
What CPT® code is reported for the anesthesia?
(a) 00932
(b) 00934
(c) 00936
(d) 00938
Q.23 – What is the appropriate code for a patient who had regional block
anesthesia provided for carpal tunnel surgery?
(a) 20526
(b) 00400
(c) 01820
(d) 01810
Q.24 – What is/are the appropriate anesthesia code(s) for an obstetric patient
who had neuraxial labor analgesia provided by the anesthesiologist? The delivery
was expected to be a normal delivery; however, the obstetrician performed a
cesarean delivery when the fetal heart rate dropped. What CPT® code(s) is/are
reported for the anesthesia?
(a) 62319
(b) 01967
(c) 01968
(d) 01967, 01968
Q.25 – What time is used to report the start of anesthesia time?
(a) Surgery start time
(b) Entering the operating roomD
(c) During the pre-anesthesia assessment
(d) When the anesthesiologist begins to prepare the patient for anesthesia
Q.26.Using your CPT® Index, look for anesthesia for an insertion of a penile
prosthesis performed in the perineal approach. What CPT® code is reported for
the anesthesia services?
(a) 00932
(b) 00934
(c) 00936
(d) 00938
Q.27 – 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?
(a) 53
(b) 23
(c) 73
(d) 74
Q.28 – 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?
(a) 7:14 am to 8:18 am (64 minutes)
(b) 7:14 am to 8:29 am (75 minutes)
(c) 7:26 am to 8:18 am (52 minutes)
(d) 7:26 am to 8:29 am (63 minutes)
Q.29 – A pre-anesthesia assessment was performed and signed at 10:21 a.m.
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?

a. 10:21 am to 15:12 pm (291

b. 12:26 pm to 15:26 pm (180 minutes)
minutes)

c. 12:26 pm to 15:12 pm (146

d. 12:37 pm to 15:26 pm (169 minutes)
minutes)

Q.30 – Code 00350 Anesthesia for procedures on the major vessels of the neck;
not otherwise specified has a base value of ten (10) units. The patient is a P3
status, which allows one (1) extra base unit. Anesthesia start time is reported as
11:02 am, and the surgery began at 11:14 am. The surgery finished at 12:34 am
and the patient was turned over to PACU at 12:47 am, which was reported as the
ending anesthesia time. Using fifteen-minute time increments and a conversion
factor of $100, what is the correct anesthesia charge?
(a) $1,500.00
(b) $1,600.00
(c) $1,700.00
(d) $1,800.00
Q.31 – Code 00940, anesthesia for vaginal procedures, has a base value of three
(3) units. The patient was admitted under emergency circumstances, qualifying
circumstance code 99140, which allows two (2) extra base units. A pre-
anesthesia assessment was performed and signed at 2:00 a.m. Anesthesia start
time is reported as 2:21 am, and the surgery began at 2:28 am. The surgery
finished at 3:25 am and the patient was turned over to PACU at 3:36 am, which
was reported as the ending anesthesia time. Using fifteen-minute time
increments and a conversion factor of $100, what is the correct anesthesia
charge?
(a) $800.00
(b) $900.00
(c) $1,000.00
(d) $1,200.00
Q.32 – 94-year-old patient is having surgery to remove 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?
(a) 00300, 36620
(b) 00100, 36620, 99100
(c) 00100, 99100
(d) 00400
Q.33 – 5- year-old patient is experiencing atrial fibrillation with rapid ventricular
rate. The anesthesia department is called to insert a non-tunneled central
venous (CV) catheter. What CPT® code is reported?
(a) 00400
(b) 36555
(c) 36556
(d) 36557
Q.34 – 43-year-old patient with a severe systemic disease is having surgery to
remove an integumentary mass from his neck. What CPT® code and modifier
are reported for the anesthesia service?
(a) 00300-P2
(b) 00300-P3
(c) 00322-P3
(d) 00350-P3
Q.35 – 30-year-old patient had anesthesia for an extensive spinal procedure with
instrumentation under general anesthesia. The anesthesiologist performed all
required steps for medical direction and was not medically directing any other
services at the time. What modifier(s) and CPT® code(s) are reported for the
anesthesiologist and CRNA services?
(a) 00670-AA
(b) 00670-QK and 00670-QX
(c) 00670-QK and 00670-QZ
(d) 00670-QY and 00670-QX
Q.36 – Mrs. Jones is a 90-year-old female having laparoscopic surgery on her
gallbladder. Dr. Lot, the anesthesiologist for this case, documents she is a
normal healthy person and begins to prepare the patient for surgery at 07:30
am. Surgery begins at 08:00 am. The surgery is concluded at 09:30 am. The
anesthesiologist releases the patient to the PACU nurses at 09:45 am. How many
minutes of anesthesia time transpired and what is the appropriate anesthesia
code?
(a) 1 hr. 30 minutes, 00840-P1, 99100
(b) 2 hrs. 15 minutes, 00790-P1, 99100
(c) 1 hr. 30 minutes, 00700-P1, 99100
(d) 2 hrs. 15 minutes, 00700-P1, 99100
Q.37 – 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 1015. What is the total anesthesia time
and anesthesia code?
(a) 1hr. 30 minutes, 00840
(b) 1hr. 45 minutes, 00851
(c) 1 hr. 00840
(d) 1 hr. 15 minutes, 00851
Q.38 – An 8-month-old has a simple Fontan procedure to repair his tricuspid
atresia. During the procedure, the heart-lung machine is used. What are the
correct CPT® and ICD-10-CM codes for this anesthesia service?
(a) 00561, Q22.4
(b) 00561, 99100, Q22.4
(c) 00561, 99100, 99116, Q22.3
(d) 00562, 99100, Q21.0
Q.39 – Mr. Johnson, age 82, having been in poor health with diabetes and
associated peripheral neuropathy, is having a fem-pop bypass. The
anesthesiologist documents he has severe systemic disease. What is/are the
correct anesthesia code(s) for this patient?
(a) 01260-P2, 99100
(b) 01272-P3
(c) 01272-P2, 99100
(d) 01270-P3, 99100
Q.40 – A patient presents to OR for a craniotomy with evacuation of a
hematoma. What is the CPT® code for the anesthesiologist’s services?
(a) 00210
(b) 61312
(c) 00211
(d) 61314

ANSWERS:
1-B , 2-C , 3-A , 4-D , 5-D , 6-D , 7-A , 8-C , 9-B ,
10-B ,
11-C , 12-A , 13-A , 14-B , 15-B , 16-D , 17-B , 18-D , 19-B ,
20-B ,
21-A , 22-C , 23-D , 24-D , 25-D , 26-D , 27-C, 28-B , 29-B ,
30-D ,
31-C , 32-B , 33-C , 34-B , 35-D , 36-B , 37-B , 38-A , 39-D ,
40-C
v