Intra - Within (Andar)
Thorax – the part of the body between the neck and
abdomen
Spinal Cord – The bundle of nerves in the spine
Spine – The vertebra (Reedh ki Haddi)
Anterior - From The front (Aage se)
Posterior – From the back
Centesis – The fluid is taken out using a needle
(Puncture)
Ectomy(Excision) – partial removal of the body part by
cutting out of the body
Resection – Whole removal of body part out from the
body
Ostomy – Creation of permanent artificial opening –
Thoracostomy
Otomy – Surgical Opening(Temporary)
Orraphy – Eg : Kidney avulsion(Nephrorraphy),
Hepatorrhaphy, gastrorraphy, Cardiorraphy
-
Opexy – Surgical Fixation Eg - Nephropexy
Oplasty – Surgical change the shape of the body part
(Rhinoplasty)
Otripsy – Destroying the foreign body or Biomechanical
product
Eg – Lithotripsy
Modifiers in Anesthesia
Physical Status
P1 – P6
Q – The dr called anesthesiologist for a kidney stone
removal by open approach, After examining the pt,
anesthesiologist says the pt is healthy and he
performed the anesthesia. What is the correct CPT code
for anesthesiologists!
00862 – P1
Q – The dr schedules a right hip surgery and
anesthesiologist was appointed, After the examination
anesthesiologist approves te anesthesia for a healthy
pt. Give the appropriate CPT code for anesthesiologist
service
01210 – P1
Systemic disease is a disease which affects the entire
body or multiple organs eg – High blood pressure,
Obesity, Diabetes
P2 - Mild systemic disease
P3 - Severe systemic disease
P4 – Severe systemic disease with constant threat to
life
P5 – The pt will not survive without operation
P6 – A brain dead person whose organs are to be used
for donor purposes
+99100 – Anesthesia of extreme age younger than 1
year and older than 70 year
Ques - The dr delivered a healthy baby boy and handed
over to the mother, After one week the mother visited
the ER for baby’s shortness of breath, dr decided to
perform a tracheotomy to aid in the breathing and was
admitted to hospital for further observation, Apply the
correct anesthesia code!
00326 – Very Good
Ques - A 84-year-old pt is scheduled for kidney right
transplant due to severe hypertension hence
anesthesiologist administered general anesthesia and
handed over the pt to surgeon for kidney transplant,
The surgery went well, Bill the appropriate anesthesia
CPT code
00868 – P3, 99100 – Very Good
Ques - The dr performed cleft lip surgery on the 6-
month-old pt, Give the appropriate anesthesia CPT
code
00172, 99100 – Very Good
Hyper – Increase, more
Hypo – Decrease, Less
Hyperglycemia – Increased Sugar level
Hypoglycemia – Decreased sugar level
Hyperthermia – Increased body temp.
Hypothermia – Decreased body temp. - +99116
Hypertension – Increased blood pressure
Hypotension – Decreased blood pressure - +99135
+99140 – Anesthesia given in emergency conditions
Ques - The dr performed cleft lip surgery on the 13-
month-old pt in emergency condition, Give the
appropriate anesthesia CPT code
00172, 99140
Ques - The dr performed cleft lip surgery on the 6
month-old pt in emergency condition, Give the
appropriate anesthesia CPT code
00172 - AA, 99100, 99140
Ques – The Dr. scheduled a open fracture repair on
forearm for a 36-year-old pt, The pt was complicated
due to hypothermia and hypotension, Bill the
appropriate anesthesia procedure code
01860, 99135, 99116 – Very good
Additional Modifiers
When surgeon performs the anesthesia service modifier
47 will be used along with surgery CPT code, For eg –
33154-47
When Anesthesiologist gives anesthesia modifier AA is
used eg - 00172 - AA, 99100, 99140
Anesthesiologist will bill with mod. QY and CRNA will bill
with Mod. QX
Eg – The Dr. scheduled a open fracture repair on
forearm for a 36-year-old pt, The pt was complicated
due to hypothermia and hypotension, Anesthesiologist
instructed his CRNA to perform the anesthesia service.
Bill the appropriate anesthesia procedure code
01860 – QY, 01860 – QX
When the anesthesiologist is not available the CRNA
will work independently - QZ
Eg – The Dr. scheduled a open fracture repair on
forearm for a 36-year-old pt, The pt was complicated
due to hypothermia and hypotension, because of no
availability of anesthesiologist the CRNA performed the
anesthesia service independently. Bill the appropriate
anesthesia procedure code
01860 - QZ
Anesthesiologist supervises 2 to 4 CRNA at the same
time, Anesthesiologist – QK and CRNA will use mod QX
For more than 4 to 6 CRNA are supervised CRNA’s will
bill with QX and Anaesthesiologist will use Mod. AD
3 CRNA and 1 anaesthesiologist
Anaesthesiologist CRNA
00600-QK 00600-QX for 1st CRNA
01214-QK 01214-QX for 2nd CRNA
00100-QK 00100-QX for 3rd CRNA
For MAC procedure use QS modifier (monitored
anesthesia Care)
00600 – QS
For Complicated or major invasive surgery use G8
For Severe cardiopulmonary disease use G9
Moderate Sedation codes provided by the
physician
99151 – younger than 5 years
99152 – 5 years and older
99153 – Add on code with 99151 and 99152
Moderate Sedation codes provided by the other than physician
99155 – younger than 5 years
99156 – 5 years and older
99157 – Add on code with 99155 and 99156
