Important Interview Questions and Answers
Important Interview Questions and Answers
Anesthesia Interview Questions and Answers
What is Anesthesia ?
Anastasia is defined as the loss of sensations with or without consciousness, generally induced by the administration of a particular drug.
How many types of Anesthesia do we have?
We have topical / local regional and general.
What is topical anesthesia?
Topic are anesthesia refers to the application of a drug to the skin to reduce or prevent sensation in a specific area temporarily.
What is local anesthesia ?
Local anesthesia refers to the injection of a drug to prevent sensation in a specific portion of the body includes local infiltration anesthesia, digital blocks, and and pudendal blacks.
What type of anesthesia you can use for large area of the body?
Mostly use general anesthesia for larger body area.
What are the routes of administration of general anesthesia ?
General anesthesia is the patient by inhalation, intravenous (IV) injections or on rare occasions, intramuscular (MI) injection.
What is Name of general anesthesia ?
Propofol
What is moderate (conscious) sedation?
With conscious sedation the physician gives the patient medication to reduce anxiety and stress.
What are peripheral nerve blocks ?
Peripheral nerve blocks, which are typically used for Procedures performed on the extremities arms are legs or the grin, or the face.
What are the Physical status modifiers ?
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 patient who is not expected to survive without the operation
P6: A declared brain-dead patient whose organs are being removed for donor purposes
What are the Anesthesia modifiers :
The modifiers listed below must be reported with anesthesia services to indicate who performed the anesthesia service.
AA Modifier : We have to use this modifier when anesthesia services personally performed by the anesthesiologist
AD Modifier : We have to use this modifier when supervision, more than four procedures
QK Modifier : We have to use this modifier when Medical direction of two, three, or four concurrent anesthesia procedures
QX Modifier : We have to use this modifier when Qualified non-physician anesthetist with medical direction by a physician
QY Modifier : We have to use this modifier when Medical direction of one CRNA/AA by an anesthesiologist
QZ Modifier : We have to use this modifier when Certified Registered Nurse Anesthetist (CRNA) without medical direction by a physician
Monitored anesthesia Care :
QS Modifier : Monitored Anesthesia Care (MAC) services (can be billed by a qualified nonphysician anesthetist or physician)
G8 Modifier : Deep complex complicated, or markedly invasive surgical procedures
G9 Modifier : Appended with an anesthesia code to indicate that the patient has a history of a severe cardiopulmonary condition
When do you use epidural or spinal anesthesia ?
Epidural and spinal anesthesia, Which employs an anesthetic injected today into the spinal cord, most often to numb the lower abdomen, pelvic area, or the lower extremities.
How do define general anesthesia?
General anesthesia means the administration of a drug in order to induce a loss of consciousness in the patient ,who is unable to be aroused even by painful stimulation.
What is other name for general anesthesia ?
For general anesthesia is surgical anesthesia.
Where do find conscious sedation code?
Medicine section.
Range of conscious sedation code range?
The range 99151 -99153
What is meant by monitored anesthesia care?
If an anesthesiologist administers the moderate sedation, this is know as monitored anesthesia care (MAC) Which is reported from the anesthesia section of Cpt (00100 – 01999)
What is Digital block anesthesia?
The digital nerve block is a procedure in which an anesthetic solution is injected into the base of a finger or toe to provide regional anesthesia.
How do code a anesthesia for separate or multiple procedure?
When multiple procedure are performed during the same operative session, but the anesthesia is continuous, the anesthesia should be coded for the most complicated procedure only.
Who is an anesthesiologist?
Anesthesiologist is a physician specializing in the administration of anesthesia.
What are the services included in anesthesia code package?
Unusual preoperative anesthesia care during the procedure, administration of fluids monitoring services like ECG, BP, check , postoperative visits.
What are qualifying circumstances ?
Qualifying circumstances causes anesthetic process more complicated.
What is pudendal block?
A pudendal nerve block is historically a common regional anesthesia technique to provide perennial anesthesia during obstructive procedures, including Vaginal birth during the second stage of Labor, vaginal repairs, and anorectal surgeries such as hemorrhoidectomies.
What is local anesthesia name?
Lidocaine is one of the frequently used anesthesia .
What is regional anesthesia ?
Regional anesthesia prevents a section of the body from transmitting pain and includes epidural, caudal, spinal, axillary, stellate ganglion blocks, and branchial anesthesia.
When does the anesthesia time starts and end ?
Anesthesia time begins when the anesthesiologist begins to prepare the patient for the 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
supervision
What is total time?
Total time is calculated only for the minutes the physician continuously spends face-to-face with the patient.
What are the steps involved in anesthesia coding ?
Frist step, we need to check physical who is performs the procedure, second step, need to identify anatomic site of the patient, third step, need to check procedure performed, forth step, need to read the description properly.
What is ASA?
The american society of anesthesiologists.
What is 47 modifier?
A normal healthy patient
What is QY modifier ?
The QY modifier would be used to indicate that an anesthesiologist was available and oversaw the administration of anesthesia services provided by someone else, such as a CRNA.
What is RVG?
Numeric value assigned to a procedure in relation to other procedures in terms of work and cost.
What are the documents needed to code anesthesia coding ?
- We need pre-anesthesia record completed by the anesthesia provider
- Anesthesia report completed by the anesthesia provider
- Post- anesthesia record completed by the anesthesia provider and all post anesthesia care unit (PACU) team
- Surgeon operative report.
Bronchoscopy and laryngoscopy are included in the anesthesia ?
Yes its include
What is PCA?
PCA means patient controlled analgesia which allows self- administration of intravenous drug through an infusion device.