Details about the anesthesia coding guidelines. Student of Medesun-Bharath Kumar

2.  DEFINITION: loss of sensation
 TYPES: General anesthesia
Retinol anesthesia
Local anesthesia

3.  Anesthesia may induce temporary loss of
sensation or awareness
 It may categorized as :-
 analgesia (relief from or prevention of pain)
 paralysis(muscle relaxation)
 amnesia (loss of memory)
or unconsciousness.

4.  A patient under the effects
of anesthetic drugs is referred to as
being anesthetized.
 General anesthesia suppresses central
nervous system.
 Regional anesthesia and local anesthesia,
which block transmission of nerve impulses
between a targeted part of the body.

5. MAIN PURPOSE OF ANESTHESIA
 Hypnosis (temporary loss of consciousness)
 Analgesia(lack of sensation)
 muscle relaxation

6.  General anesthetics can affect all of the
endpoints.
 Whereas local/regional anesthetics
affect the endpoints differently.

7.  Unconsciousness
 Amnesia
 Analgesia
 Oxygenation
 Ventilation
 Homeostatic
 Air management
 Reflex management
 Muscle relaxation
 monitoring

8.  INTRAVENOUS DRUGS:-
 Thiopentone
 Propofol
 Others like:-
etomidate,benzodiazepines,ketamine.

9.  INHALATIONAL DRUGS:-
 NITROUS OXIDE
 ISOFLURANE
 SEVOFLURANE
 DESFLURANE
 HALOTHANE

10.  ANALGESIC CLASS:-
 Opiates
 Local anesthetics like:NSAIDS, Paracetamol.
 Opiate analgesics like:morphine,codeine.
 NSAIDS ANALGESIC:-
 Ibuprofen
 Diclofenac
 Cox-2 inhibitors

11.  Muscle relaxant anesthesia drugs like:-
 Suxmethonium
 Tracurium
 LOCAL ANESTHESIA
ex:lignocaine,bupivacaine, prilocaine

12.  Effective alternative to general anesthesia
 Avoids polypharmacy
 Allergic reactions
 Patient can remain awake

13.  LIMITED SCOPE
 HIGHER FAILURE RATE
 RISK OF NEURAL INJURY

14.  In coding it classified as:-
 Spinal anesthesia
 Epidural anesthesia
 Nerve block anesthesia
 Time of anesthesia is calculated in units
 Each 15 minutes=I unit

15.  Time starts from preparing the patient for
the induction of anesthesia in OP room and
ends when the patient may be safely placed
under postoperative supervision
 Depending upon the type of services codes
are listed in E/M services
 special services are listed in medicine

16.  Multiple procedures under single anesthetic
administration code represents most complex
procedure.
 Range of anesthesia code 00100-01999 plus
addition of physical state modifier.
 The use of other optional modifiers may be
appropriate

17.  Based on (ASA)
 P1:a normal healthy patient
 P2 :a patient with mild systemic disease
 P3:a patient with severe systemic disease
 P4:a patient with severe systemic disease
that is a constant threat to life
 P5:a moribund(hospitalized)patient who is
not expected to survive without the
operation
 p6:a declared brain-dead patient whose
organs are being removed for donor purposes

18.  AA: anesthesia given by anesthelogist.
 CRNA: certified registered nurse
anesthelogist
 SRNA:student registered nurse anesthetist
 MAC:monitored anesthesia care
 AD:medical super vision by a physician more
than 4 concurrent anesthesia procedures

19.  QK:medical direction of 2,3,or 4 concurrent
anesthesia procedures.
 QY:medical direction of 1 crna by
anesthesiologist.
 QX:crna service with medical direction by
anesthesiologist
 QZ:crna services without medical direction
by anesthesiologist
 QS:MAC services

20.  G8: monitored anesthesia by deep complex,
complicated(or)marketly invasive surgical
procedure
 G9:MAC for a patient who has the history of
severe cardiopulmonary condition
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