Question Labor Epidurals

ernist8489

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Labor Epidurals - Is Post op note required by CMS?
You always need documentation of every procedure, and encounter to support the services rendered. Even if the service is bundled and not billable,the post op itself being included in the payment of the epidural is still part of the overall treatment of the patient and must be detailed in a post op note.
Hope this helps.
 
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