Know Anesthesia billing claim guidelines and rules for getting payments. How to bill the anesthesia claim in the correct manner without time delay. Medicare Anesthesia billing and coding. procedure code list , procedure codes.
Wednesday, June 8, 2016
Anesthesia During Delivery CPT codes 01967, 99140,
Labor Epidurals
Anesthesia for labor epidurals are time-based services and should be billed as total minutes.
CPT code 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.) Code may be reported as a single anesthesia service.
CPT code 01968: Cesarean delivery following failed attempt at vaginal delivery This is an add-on code and should always be reported with CPT code 01967.
CPT code 01969: Cesarean delivery followed by a cesarean hysterectomy after failed planned vaginal delivery
This is an add-on code and should always be reported with CPT code 01967.
CPT code 99140: This add-on code may be billed for labor ending in an urgent or emergency cesarean delivery with four additional units.
Note: 01967 and add-on codes 01968 and 01969 require a concurrency modifier in the first position.
Scenarios:
• For labor less than 4 hours ending in vaginal delivery : CPT code 01967
• For labor less than 4 hours ending in a cesarean delivery: CPT code 01967 and 01968
• For labor ending in an urgent or emergency cesarean delivery, CPT code 99140 may be billed with CPT code 01967 and 01968
• For labor 4 hours or more ending in a vaginal delivery: CPT code 01967 with modifier 23
• For labor 4 hours or more ending in a cesarean delivery : CPT code 01967 with modifier 23 and add on CPT code 01968
• For labor ending in an urgent or emergency cesarean delivery: CPT code 01967 with add-on code 01968 and 99140
Note: Payment for anesthesia administered by the delivering physician is included in the global maternity fee.
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