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Labor to c section different days

cherylbr

Networker
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37
Best answers
0
Can someone please help me on the proper coding for the following scenario:

labor analgesic provided from 0840 pm to 0916 pm on day one (08-23-18)

csection provided from 0503 am to 0643 am on day two (8-24-18)

we submitted as 01967 labor analgesic
and 01968 c section following day

Insurance is denying.

Since they are different days should the coding be:

01967 for labor analgesic
01961 for c section following day?

Thank you!
Cheryl:confused:
 

AudreyS

New
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9
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0
anesthesia coder

I have always submitted my labor and delivery claims at 1 minute apart. Lets say the patient had an epidural at 7:00 pm and was in active labor until 1 am.
The C-section would begin at 1:01am. It would be coded 01967 from 7pm until 1am. 01968 from 1:01 am until the anesth. stops. They should be 2 separate claims sent together. So far the insurance companies have been paying. If the times are not 1 minute apart on the report the anesthesiologist needs to change it to reflect the minute in between. The ins. companies will deny if there is too much time in between.
 
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