As used in this subpart:

1. (1) “General or intravenous anesthetics”.

   1. (A)

      1. (i) “Deep sedation/analgesia” means a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation.
      2. (ii) The ability to independently maintain ventilator function may be impaired.
      3. (iii) Patients may require assistance in maintaining a patent airway and spontaneous ventilation may be inadequate.
      4. (iv) Cardiovascular function is usually maintained (source: 2009 American Society of Anesthesiologists Continuum of Depth of Sedation).

   2. (B)

      1. (i) “General anesthesia” means a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation.
      2. (ii) The ability to independently maintain ventilator function is often impaired.
      3. (iii) Patient often requires assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function.
      4. (iv) Cardiovascular function may be impaired (source, same as above); and

2. (2) “Office-based surgery” means a surgery that:

   1. (A) Is performed by a physician in a medical office that is not a hospital, outpatient clinic, or other facility licensed by the State Board of Health;
   2. (B) Requires the use of general or intravenous anesthetics; and
   3. (C) In the opinion of the physician, does not require hospitalization.