Anesthesia Coding Alert

Reader Questions:

01968 Is for Complete C-Section, Not Partial Help

Question: When an anesthesiologist starts a labor epidural for a vaginal delivery and then a different anesthesiologist is present for a c-section, should we report 01968 or use 01961 because of the different physician?Louisiana SubscriberAnswer: Report the first anesthesiologist's service with 01967 (Neuraxial labor analgesia/anesthesia for planned vaginal deliver [this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor]).For the second anesthesiologist, report +01968 (Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia [list separately in addition to code for primary procedure performed]).Why not 01961: Code 01961 (Anesthesia for cesarean delivery only) represents all services associated with anesthesia for a c-section. You won't report it in this case because it implies that the second physician completed all the work associated with the delivery instead of only being present for the c-section.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Anesthesia Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.