Labor Epidural & Spinal

enancy79

Networker
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Poplar Bluff, MO
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How would you recommend coding this situation: CRNA places the labor epidural then removes the catheter due to insufficient pain relief and places a spinal?
 

jdrueppel

Expert
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435
Location
Lincoln, NE
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ASA code 01967 states "including replacement". The epidural was a failed/inadequate technique that converted to spinal. I would bill 01967 at your standard rate. I say standard rate because most of us have capped fees for OB anesthesia, however, I do know of other providers who still bill base plus full time units on their OB charges.

Julie D, CPC
 
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