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Anesthesia Coding Alert

READER QUESTIONS:

For Twin Delivery, Stick to Basics

Published on Sat Feb 14, 2009

Question: A charge states that a patient had a labor epidural with a start time 18:08 and stop time of 20:03.Then at 20:05, there is a standby charge stating twin vaginal delivery ending at 20:53. I didnt see any add-on code in the Relative Value Guide (RVG) that will fit in this situation. Is 01967 still the correct way to code this? Missouri Subscriber Answer: Go ahead and bill the procedure as 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]) with a total time of 18:08"20:53.
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