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Anesthesia Epidural Question

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  • rncpc@aol.com
    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
    Message 1 of 2 , Apr 1, 2001
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      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!
    • dekakabigd@aol.com
      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
      Message 2 of 2 , Apr 3, 2001
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        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.

        Doris





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