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Retained placenta

  1. #1
    Default Retained placenta
    Medical Coding Books
    After a patient delivers with a labor epidural, they have a retained placenta and are taken back to the operating room within 30 min to an hour the epidural is re-bolused and used as the anesthesia. Can you bill for the 00940 with a modifier?

  2. Default
    I think this depends on the specific payer's rules about labor and discontinuous time. I would check their policies regarding these two things. Some payers pay labor at a flat rate, some consider time. Your payer may also have specific time limits/guidance re: discontinuous time.

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