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Labor Epi converting to gen anes for C S

  1. Default Labor Epi converting to gen anes for C S
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    How would I code for a labor epidural converting to general anesthesia for a c section due to inadequate relief from the epidural?

  2. #2

    Assuming your usual practice is to bill 01967 for a labor epidural (because obstetrical anesthesia service coding can vary depending on extent of service, hospital contracts, and insurance contract specifications) then this scenario is no different than labor epidural to c-section epidural. ASA codes 01967 + add-on 01968 are appropriate also for labor epidural to general anes for c-section.

    Julie D , CPC

  3. Default Epidural Placement
    In this case would you also bill the epidural placement from the original planned vaginal delivery?

  4. Default
    Epidural placement or replacement is already bundled in 01967 and as Julie said, you would use 01968 in conjunction with 01967.
    Thank you

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