nerdexam
AAPC

CPC · Question #77

A patient is taken to the radiology department for a radiological cardiac catheterization. An acute MI of the left anterior descending coronary artery is found. The cardiologist performs a suction…

The correct answer is C. 00520-QX-QS-P5. The patient is undergoing a cardiac catheterization with a CRNA providing monitored anesthesia care (MAC). Code 00520 is for anesthesia for heart catheterization procedures. Modifier QX indicates CRNA service with medical direction by a physician, QS indicates MAC, and P5…

Anesthesia

Question

A patient is taken to the radiology department for a radiological cardiac catheterization. An acute MI of the left anterior descending coronary artery is found. The cardiologist performs a suction thrombectomy, followed by atherectomy and a stent to the artery. A CRNA provides MAC for this patient, who is status P5. What code/modifier combination would you report for the services of the CRNA?

Options

  • A01925-QZ-QS-P5
  • B00520-QZ-P5
  • C00520-QX-QS-P5
  • D01925-QZ-P5

How the community answered

(34 responses)
  • A
    18% (6)
  • B
    29% (10)
  • C
    47% (16)
  • D
    6% (2)

Explanation

The patient is undergoing a cardiac catheterization with a CRNA providing monitored anesthesia care (MAC). Code 00520 is for anesthesia for heart catheterization procedures. Modifier QX indicates CRNA service with medical direction by a physician, QS indicates MAC, and P5 indicates a patient with a severe systemic disease that is a constant threat to life. Thus, the correct code and modifier combination is 00520-QX-QS-P5.

Topics

#CRNA modifiers#MAC anesthesia#physical status P5#cardiac catheterization anesthesia

Community Discussion

No community discussion yet for this question.

Full CPC Practice