Anesthesia Coders***Vaginal turned over to C-section....01961 and add code 00968

carlyehly

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Hello

Currently, when we code for anes ,we are only able to code one CPT code/ASA code per claim (if more than 1 procedure is done, we choose the highest base)

When it comes to L&D though, we are trying to understand how we would code the anesthesia for the vaginal, as well as the C-section. ( I think it would just need to be implemented into our coding system)

When a vaginal delivery converts to a c-section, you would use 01967 followed by add code 01968. Is this something that anesthesia L&D coders are actively doing and getting paid on?

Please, any and all input is welcome. Thank you
 

LisaAlonso23

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You would bill 01967 with the start & stop times for the vaginal delivery attempt.

Then, you would bill 01968 with the start & stop times for resulting c-section. You would not use 01961 in this scenario, as this is for c-section only.

Both 01967 & 01968 will have the same diagnosis codes and may bill these ASA codes on separate claims You should be reimbursed for both 01967 & 01968, although how depends on your contract with the payor.
 
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