Anesthesia Epidural Question
- 1) If a women has an epidural placed on day 1 for pain management for a
delivery, and on day 2 she returns to the OR for a tubal (and the same placed
epidural is used for the tubal) can the anesthesia code for a tubal be billed?
2) If an epidural is placed for pain for a vaginal delivery, and the vaginal
delivery fails and a c-section is performed using general anesthesia, are
both the epidural and general billable? Hoe about if the epidural which was
placed for pain is then used for the section, how would you code these?
Thanks for your help!
- When a labor epidural progresses to a c section, the claim is billed with the
ASA code 00857 (anesthesia for labor ending n a Cesarean Section). We bill
the total time from when Epidural was placed and ending with completion of
the Section. It does not matter if the Cesarean was done under general,
Epidural, or Spinal.
Tubal ligation next day should be billed as total time anesthetist was caring
for patient for the procedure.
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