Anesthesia Coding Alert
Select CPT® and ICD-10-CM Codes for This Labor Case
Question: The anesthesiologist placed a neuraxial epidural for a patient in labor (37 weeks’ gestation). Documentation shows the patient required an emergency C-section because of failure to progress and states she had a prior C-section. How should I report the anesthesiologist’s services? Georgia Subscriber Answer: To report the epidural, report primary code 01967 (Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)). You also should report add-on code +01968 (Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)). Tip: As with everything coding, payers may have varying policies. For instance, check your payer’s policy to ensure they allow use of both 01967 and +01968 when a vaginal delivery becomes a C-section and the catheter remains in place for the C-section. If the payer requires performance modifiers, append AA (Anesthesia services performed personally by anesthesiologist) to both 01967 and +01968. ICD-10-CM: For the diagnosis code, report O66.41 (Failed attempted vaginal birth after previous cesarean delivery).
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