Results 1 to 4 of 4

Epidural for Patient In Labor

  1. #1
    Question Epidural for Patient In Labor
    Medical Coding Books
    I am needing guidance on a coding question. The patient presents in labor and fails to progress. She is given an epidural when she arrives and prepares for vaginal labor. The patient has a history of C-section. Due to the failure to progress, the physician orders an immediate C-Section on the patient.

    My question:
    If the epidural is placed for the vaginal delivery (01967) and then converts to cesarean section (01968). I am being told to code 01961 and I do not agree. Any thoughts??
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

  2. #2
    Default
    Wouldn't the correct coding be:

    01967 neuraxial labor analgesia for planned vaginal delivery
    +01968 anesthesia for c-section following neuraxial labor analgesia (list in addition to primary code)

    My understanding this is how to code planned vaginal delivery that is converted to c-section.
    Melanie Zinser, RMC, CPMA, CPC-I, CANPC
    Coding Educator & Quality Analyst
    OhioHealth Physician Group
    melanie.zinser@ohiohealth.com

  3. #3
    Default
    That is what I am asking. The codes would be 01967 and 01968, which I have. I am being told that is incorrect that we should code an 01961 which shows the patient just went in for a routine c-section.
    Thanks
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

  4. #4
    Default just asking
    Told by whom? Is it a payer?
    Melanie Zinser, RMC, CPMA, CPC-I, CANPC
    Coding Educator & Quality Analyst
    OhioHealth Physician Group
    melanie.zinser@ohiohealth.com

Similar Threads

  1. labor epidural
    By skintzley in forum Anesthesia
    Replies: 0
    Last Post: 01-30-2015, 05:24 PM
  2. Labor Epidural
    By akj in forum Anesthesia
    Replies: 2
    Last Post: 06-22-2014, 02:01 PM
  3. Modifers for Labor Epidural
    By nursed in forum Anesthesia
    Replies: 2
    Last Post: 05-12-2011, 03:29 PM
  4. Labor Epidural
    By sierra in forum Anesthesia
    Replies: 1
    Last Post: 09-17-2009, 08:01 PM
  5. Labor epidural
    By thensel in forum Anesthesia
    Replies: 1
    Last Post: 11-07-2007, 12:18 PM

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.