Reader Questions:
Combined epidural doesn't merit 2 codes
Published on Tue Jan 05, 2010
Question: Our anesthesiologists sometimes mark our C-section tickets as "combined spinal epidural," but our billing system will only allow us to choose epidural or spinal. Where can I find information about spinal epidurals and how to correctly code them? Oklahoma Subscriber Answer: From a coding perspective, whether your physician used spinal or epidural anesthesia doesn't matter as long as you report the correct obstetrics code. Base your anesthesia code on the case specifics: • 01961 (Anesthesia for cesarean deliver only) for a straight c-section instead of converting from labor to a csection • 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 a standard labor and vaginal delivery • +01968 (Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia [List separately in addition to code for primary procedure performed]) for a [...]
