Wiki Labor Epi converting to gen anes for C S

[Mary Krohn]

How would I code for a labor epidural converting to general anesthesia for a c section due to inadequate relief from the epidural?

 

[jdrueppel]

Mary,

Assuming your usual practice is to bill 01967 for a labor epidural (because obstetrical anesthesia service coding can vary depending on extent of service, hospital contracts, and insurance contract specifications) then this scenario is no different than labor epidural to c-section epidural. ASA codes 01967 + add-on 01968 are appropriate also for labor epidural to general anes for c-section.

Julie D , CPC

 

[coridonton]

Epidural Placement

In this case would you also bill the epidural placement from the original planned vaginal delivery?

 

[preserene]

Epidural placement or replacement is already bundled in 01967 and as Julie said, you would use 01968 in conjunction with 01967.
Thank you