Was the epidural actually in place and running for two days? If it was not infusing, and it was simply placed to be ready for the onset of labor, then I would consider billing only for the placement (62319 OR 62311 depending on documentation if lumbar). Then, for the D&E - again was the epidural infusing? If it was, confirm the mode of anesthesia. I'm questioning why would patient need MAC when the epidural was available and running. I would then bill the D&E ASA 01965 (CPT 59812) with D&E attendance time only.
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