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Epidural/Spinal for Labor/Delivery

  1. #1
    Daytona Beach, FL
    Default Epidural/Spinal for Labor/Delivery
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    Trying to make heads or tails out of these codes - can someone please help! My anesthesiologist did an Epidural on one patient and wants me to use 01960. I think it should be 01967. Can someone explain the difference between the codes and which to use?

    Also, what is the difference between an Epidural and a Spinal? And what would be the codes for Labor? How about a Spinal done for a patient for a repeat cesarean?

    Any help would be appreciated - I need all I can get!

    Jodi Dibble, CPC

  2. #2

    ASA code 01960 = anesthesia for vaginal delivery only
    ASA code 01967 = anesthesia for labor AND planned vaginal delivery
    I can't tell you which code is most appropriate as it would depend the documentation.

    A spinal is an injection into the subarachnoid space. An epidural is an injection and/or catheter placement into the epidural space.

    If you doctor places a spinal for the mode of anesthesia for a c-section (no labor) the ASA code is 01961.

    Hope this helps.
    Julie D, CPC

  3. #3
    Daytona Beach, FL
    Julie - thanks for the response. I guess I am just confused by the terminology on the codes. I was looking for a code stating spinal or epidural for a C-section, thinking that a code stating Anesthesia for C-Section only meant that the patient was put under only. So I guess what I am asking is that the codes for Anesthesia refer to both Epidural/Spinals and for knocking the patient out?

    Thank you for explaining this to me - I am trying to train myself as I was given anesthesia to code without warning and my part-time coder has never done this either. We are both confused together!
    Jodi Dibble, CPC

  4. #4
    The anesthesia codes for valid for all modes of anesthesia performed by an anesthesia provider.

    Julie D, CPC

  5. #5
    Daytona Beach, FL
    Thanks Julie!
    Jodi Dibble, CPC

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