Results 1 to 2 of 2

help - places the epidural

  1. Default help - places the epidural
    Exam Training Packages
    scenario: Dr.A is on schedule from 7am to 7 pm. Dr. A got called for a c-section case. A pt needs epidural placement, but Dr. A can't do it (he's in OR for C/S), so they called another physician Dr. B. So Dr. B places the epidural, has contact with patient for 30 mins., then leaves. In the meantime, Dr. A is done with the C/S case, and nurse tells Dr. A that Dr. B placed the cath on Patient 2. now the question is: how do i bill for Dr. A & Dr. B? This is not a split case because it happened between 7am -7pm.

    most insurances asks for the contact time in this scenario Dr. B has contact time of 30 mins. And Dr A on the otherhand, after the c/s case, he did not have contact with patient 2 but he is the dr on schedule. so how would i bill this and how should documentation look like.

    confusing i know!!! pls help!!!

  2. #2
    Default
    Are Dr. A and Dr. B in the same practice? Is there any documentation by Dr. A on the anesthesia record, who d/c'd the epidural? Epidural anesthesia for vaginal delivery is not considered a continuous face-to face (which you state as contact time) service. You have a couple options depending on the documentation. You could bill 62319 (epidural placement only) or possibly bill 01967 (it appears by your question that Dr B placed epidural for vaginal delivery) with attendance time at your standard charge. We have a dedicated OB anesthesia provider each day on the OB floor. In the case of an insurance company that requires only reporting face-to-face time we still enter total time but edit the claim form to report only contact/attendance time.

    OB anesthesia documentation requirements can vary by facility guidelines. Our facility requires a minimum of hourly documentation on a labor epidural.


    Julie D, CPC
    Last edited by jdrueppel; 12-18-2008 at 07:17 AM. Reason: to clarify contact time

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.