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Modifiers
Reference pages 495, 502, and 507
Term | Definition |
---|---|
MAC | Monitored Anesthesia Care |
CRNA | Certified Registered Nurse Anesthetist |
CPB | Cardiopulmonary Bypass |
OLV | One-Lung Ventilation |
Intraperitoneal organs upper abdomen | Stomach, liver, gallbladder, spleen, jejunum, ascending colon, and transverse colon |
Intraperitoneal organs lower abdomen | Appendix, cecum, ileum, and sigmoid colon |
Extraperitoneal or retroperitoneal | Describes the anatomical space in the abdominal cavity behind or outside the peritoneum. |
Extraperitoneal | Organs in the lower abdomen include the ureters and urinary bladder, the kidneys, adrenal glands. |
Extraperitoneal | Lower esophagus are extraperitoneal organs of the upper abdomen. Also located in the retroperitoneum are the aorta and inferior vena cava. |
P1 | A normal healthy patient -No extra value added |
P2 | A patient with mild systemic disease-No extra value added |
P3 | A patient with severe systemic disease-1 extra unit |
P4 | A patient with severe systemic disease that is constant threat to life-2 extra units |
P5 | A moribund patient who is not expected to survive without the operation-3 extra units |
P6 | A declared brain-dead patient whose organs are being removed for donor purposes-No extra value added |
QS | Monitored anesthesia care service |
QK | Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals. |
QY | Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist. |
QZ | CRNA service: without medical direction by a physician |
AA | Anesthesia services performed personally by anesthesiologist |
AD | Medical supervision by a physician: more than four concurrent anesthesia procedures |
G8 | Monitored anesthesia care for deep complex, complicated, or markedly invasive surgical procedure. |
G9 | Monitored anesthesia care for patient who has a history of severe cardiopulmonary condition. |