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Wiki OB Epidural

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aschaeve

Guru
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Location
Fond Du Lac, WI
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Does anyone know of any articles stating that an RN cannot pull an OB Epidural? We have an insurance company UHC that is denying claims for the RN pulling the epidural. We normally bill the epidural when the anesthesiologist places the epidural until the baby is born. UHC states what if the epidural needs to run after that for a closing of the episiotomy or something else. We have documentation in the chart when the nurse pulls the epidural and the time, but they want the dr.

What do other practices do? Or anyone else having this problem?

Alicia, CPC
Wisconsin
 
Our practice does not report epidural removals by RNs. Anesthesiologist or CRNA placing the OB Epidural is billed from insertion time to baby delivery time. If there is any need to run the pump after baby delivery time (over 7 minutes after delivery) such as a repair of episotomy; this would need to be documented in anesthesia record. If no documentation to support, the baby delivery time is OB anesthesia end time.
 
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