Anesthesia Coding Alert

Reader Question:

Code Only C-section, Not Additional Tubal Ligation

Question: I am new to anesthesia coding and need to know how to code when a patient has a C-section and tubal during the same session. I have a denial from a payer as we used the sterilization ICD-10 code and they want the matching CPT® code. I see that code 01961 represents cesarean delivery only. Do we bill both 01961 for the C-section and also 00851 for the tubal?

Illinois Subscriber 

Answer: You should bill 01961 (Anesthesia for cesarean delivery only) with the total time for the c-section and tubal ligation. You would not bill the tubal ligation separately unless the tubal ligation occurred at a later time, which is not usually the case.  


Other Articles in this issue of

Anesthesia Coding Alert

View All