Results 1 to 6 of 6

Labor --> C-Section for CRNA

  1. #1
    Location
    Charleston, WV
    Posts
    245
    Default Labor --> C-Section for CRNA
    Medical Coding Books
    Forgive if this has been addressed before but I can't get the search function to work today for some reason.

    The MD provides the epidural for the labor portion himself. Then he directs a CRNA during the C-Section portion. The MD bills 01967-AA and 01968-QK or QY. The question is, what does the CRNA bill? We have a debate going. One side says the CRNA bills 01968-QX. The other side says the CRNA bills 01961-QX.

    To my surprise, I have been unable to find any documentation on this situation beyong how the MD should bill. Any insight would be appreciated!

  2. #2
    Default
    01968-QX. The Anesthesiologist and the CRNA would bill with the same ASA codes. 01961 indicates only a C-section was performed and as indicated this is not the case.

  3. #3
    Location
    Frederick, MD
    Posts
    42
    Default
    I agree with Darlene. The RVG clearly states report 01961 only when the patient has not received any labor analgesia/anesthesia care. It also states do not report code 01961 in conjunction with 01967. This patient had a trial of labor. Therefore it would be inappropriate to bill 01961. The CRNA should be billing with the same anesthesia code as the anesthesiologist, 01968.

  4. Default
    Hi,
    Yes . 01968-QX for CRNA.(Its for both Anesthesiologist and CRNA.)

    Regards,
    Nalini CPC

  5. #5
    Location
    Charleston, WV
    Posts
    245
    Default
    Thanks for your responses. That's the way we had always been coding this situation. Recently, an argument emerged for billing 01961 for the CRNA in this situation because the CRNAs felt that 3 units for a C-Section was not enough and since they were doing the "cesarian delivery only" as the description for 01961 reads, they should be able to bill 01961. I thought that was wrong but started to doubt myself. I just thought I would see how others were billing. Thanks again!

  6. Default
    01968-QX is an add on code. I have been billing 01967(no modifier, since we didn't provide the service), 01968-QX. Is this correct?

Similar Threads

  1. 2 AA's:1 labor, 1 c-section
    By pajohnson in forum OB/GYN
    Replies: 2
    Last Post: 01-22-2015, 12:48 PM
  2. Split Labor epidural to c-section ?
    By Melissa1987 in forum Anesthesia
    Replies: 0
    Last Post: 03-07-2013, 11:42 AM
  3. labor epidural to EMERGENCY c-section
    By Melissa1987 in forum Anesthesia
    Replies: 1
    Last Post: 03-27-2012, 07:27 PM
  4. Labor Epidural when Anesth & CRNA involved
    By srspence in forum Anesthesia
    Replies: 0
    Last Post: 05-25-2010, 04:34 PM
  5. Labor to C-Section diagnosis codes
    By vanessa10 in forum Anesthesia
    Replies: 5
    Last Post: 05-11-2010, 09:48 AM

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.