Question
For the following case, calculate the anesthesia reimbursement amount based on the information given. Assume that the anesthesia time unit is 15 minutes. Use the
For the following case, calculate the anesthesia reimbursement amount based on the information given. Assume that the anesthesia time unit is 15 minutes. Use the 2015 base unit values and conversion factors found in Appendices V and VI of your textbook or at http://www.cms.hhs.gov/center/anesth.asp. The unit values for the qualifying circumstances and physical status modifiers are located in Tables 4-1 and 4-2, respectively. Assume that the payer recognizes the physical status and qualifying circumstance units. Please include the dollar sign ($) in your answer.
1.John Smith is an 86-year-old male patient who was placed under general anesthesia for 30 minutes. The code used to report the anesthesia service rendered is code 00300. John had a history of an MI and therefore is classified with physical status modifier of P3. This service was performed in Birmingham, Alabama
2.Mary Jones is a 36-year-old patient who had anesthesia for sternal debridement, reported with anesthesia code 00550. Anesthesia time was 15 minutes. She has no complicating medical diagnoses. The service was performed at a hospital in the state of Alaska
3.Helen is a 76-year-old female placed under general anesthesia for a vulvectomy. Dr. Smith, the anesthesiologist, submitted code 00906 to his staff. The patient has anemia, and the doctor assigned P2. Total anesthesia time was 30 minutes. This service was performed in Danbury, Connecticut
4.Jackie is a 9-month-old child who had an arthroscopic procedure completed on her left hip joint while under general anesthesia for 45 minutes. The anesthesia code selected by the anesthesiologist is 01202. She has renal dysfunction; therefore, the physical status modifier for the case is P4. The procedure was performed in Los Angeles, California
5.Mandee is an 87-year-old patient with severe cardiovascular disease who lives in Shreveport, Louisiana. She had a needle biopsy of the thyroid, anesthesia, code 00322, and was anesthetized for 15 minutes.
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