The code that would be used to report the anesthesia service rendered for John Smith would be Modifier P5
<h3>What is Anesthesia?</h3>
This refers to the controlled state where a person is injected or inhales a substance that makes him lose sensation for a period of time.
Hence, we can see that based on the fact that John Smith has a history of MI and is classified with a physical status modifier of P3 which means that he has a severe systemic disease, the anesthesia service that would be tagged is Modifier P5
a, because exercise doesn't just aid the prevention of certain diseases, it helps prevent many diseases. i would've chosen d if it wasn't so specific but a is the correct answer.