Anesthesia Coding Alert

Reader Question:

Failed Labor Means 01967, 660.63

Published on Thu Jun 02, 2011

Question: Our anesthesia provider was called in to administer an epidural for a labor and delivery case. He inserted the epidural, but the patient did not deliver and was later released from the hospital. How should we code the case?

Arkansas Subscriber

Answer: Because the patient received an epidural, you can report 01967 (Neuraxial labor analgesia/anesthesia for planned vaginal delivery [this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor]). For the diagnosis, classify the case as a failed trial of labor and submit 660.63 (Unspecified failed trial of labor antepartum).

Anesthesia Coding Alert

Modifiers:
Take These 3 Steps to Keep Discontinued Procedure Claims Moving
Documentation and timing of cancellation make or break modifier 53.When your anesthesiologist or the surgeon [...]

Definitions:
3 Scenarios Show When to Rely on Modifier 53
Patient safety is the deciding factor for "Discontinued procedure."The anesthesiologist or surgeon -- or even the [...]

Medical Direction:
Test Your Concurrency Know-How With 3 Common Scenarios
Let payers reduce your case units instead of handling it yourself.A prime factor in determining [...]

ICD-10:
G89 Family Will Bring Chronic, Acute Pain Options
Hint: One-to-one cross from ICD-9 eases transition. When ICD-10 goes into effect in October 2013, [...]

Accounts Receivable:
Improve Your Collections by Boosting Your A/R Process With These 3 Tips
Be diligent with denial follow-ups, or risk leaving money on the table.Economic uncertainty and looming [...]

You Be the Coder:
Coding for Patient Refusal
Question: After placement of an intra-arterial catheter (A-line) in the operating room (OR), a patient [...]

Reader Question:
Failed Labor Means 01967, 660.63
Question: Our anesthesia provider was called in to administer an epidural for a labor and [...]

Reader Question:
Location Guides Myelomeningocele Repair Choice
Question: Our anesthesiologist provided care during a myelomeningocele repair. I have no information telling what [...]

Reader Question:
Steer Clear of Modifier PT for Anesthesia
Question: Can you tell me about the new modifier PT? Can we use it when [...]

Reader Question:
Procedure Includes Bupivicaine Anesthetic
Question: How should we code for bilateral greater occipital nerve blocks with 1.5 cc of [...]

Reader Question:
Bulbar Block, Anesthesia Not Same
Question: We have a new anesthesiology client who works in an eye center. He says [...]

Reader Question:
Post-op Epidural Block Merits 62319
Question: Our anesthesiologist inserted a lumbar epidural catheter to manage post-op pain following a total [...]

Reader Question:
Report Extra L/D Time With Units, Not Minutes
Question: When billing for code 01967, sometimes the time is over 999 minutes. In one [...]

View All