Module 1: Introduction to Medical Coding
Overview of the Healthcare System Importance of Medical Coding in Healthcare Basics of ICD-10, CPT, and HCPCS Level II Key Roles and Responsibilities of a Certified Professional Coder

Module 5: HCPCS Level II Coding
Introduction to HCPCS Commonly Used HCPCS Codes Durable Medical Equipment (DME) and Supplies Coding Integration with CPT and ICD-10

Module 6: Medical Coding Compliance and Ethics
HIPAA Regulations and Compliance Standards Avoiding Fraud and Abuse in Coding Ethical Considerations for Medical Coders

Module 7: Practical Coding Applications
Coding Case Studies for Various Specialties: Orthopedics, Cardiology, Dermatology, etc. Abstracting Information from Medical Records Coding Exercises and Assignments

Module 8: CPC Exam Preparation Tips
Exam Format and Structure Practice Exams and Test-Taking Strategies Tips for Time Management During the Exam

Module 9: Career Guidance and Next Steps
How to Land Your First Job in Medical Coding Resume and Interview Tips for Coders Continuing Education and Career Development

Lesson 10_Anesthesia
About Lesson

Anesthesia codes (00100-01999)

Regional Anesthesia

General Anesthesia

Local Anesthesia

Timing

In Anesthesia we count the time when the anesthesiologist begins to prepare the patient induction of anesthesia in the operating room and ends when the anesthesiologist is no longer in personal attendance, that is, when the patient may be safely placed under postoperative supervisions.

15 minutes = 1 unit

60 minutes = 4 units

Anesthesia given by Surgeon = Modifier 47

HCPCS modifier 

AA

QX

QY

QZ

QK

Physical Status modifier

P1: A normal health patient

P2: A patient with mild systemic disease

P3: A patient with severe systemic disease

P4: A patient with severe systemic disease that is constant threat of life.

P5: A moribund patient who is not expected to survive without the operation

P6: A declared brain death patient whose organs are being removed for donor purpose.

Add-on-Code

+99100: Anesthesia for patient of extreme age, younger than 1 year and older than 70 years.

Do not report this code with 00326, 00561, 00834

Codes are identify by anatomical position

Head

  • Neck
  • Thorax
  • Intrathoracic
  • Spine and Spinal code
  • Upper Abdomen
  • Lower Abdomen
  • Perinium 
  • Pelvis
  • Knee and popliteal Area
  • Upper leg
  • Lower Leg
  • Shoulder and Axilla
  • Upper Arm and elbow

Modifier Description Multiple


AA Anesthesia services personally performed by the anesthesiologist 100%

QY Medical direction of one CRNA by an anesthesiologist 50%

QK Medical direction of two, three or four concurrent anesthesia procedures 50%

AD Supervision, more than four procedures **

** Payment to the anesthesiologist will be based on three base units per procedure when the anesthesiologist
is involved in furnishing more than four procedures concurrently or is performing other services while directing
the concurrent procedure. An additional time unit can be recognized if the physician can document he was
present at induction.

CRNA

Modifier Description Multiple

QX Anesthesia, CRNA medically directed 50%

QZ Anesthesia, CRNA not medically directed

 

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