If my anesthesiologist provides PCEA as the form of anesthesia for labor and delivery what is the appropriate billing codes? Can I also bill for the following day for removal of the PCEA?
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Tag Archives: labor
Diagnosis code for Active Labor
I am aware that there is not a diagnosis for active labor.
But is there a diagnosis that can be used in regards to active labor.
My diagnosis options for patients H&P are only that she is at 36 weeks gestation in active labor with a breech presentation.
So would just billing breech presentation and 36 weeks gestation be sufficient for the H&P? I feel like I should paint the picture that she is in labor and that is why she is now going to have a cesarean.
Kam
Dealing with US Department of Labor for Worker’s Comp claims
Hi Everybody,
I code for 6 clinics in Oregon that primarily deal with worker’s comp insurance and I deal with a lot of WC insurance such SAIF, Sedgwick, Gallagher Bassett, Travelers, Broadspire, Corvel, Matrix, etc. We also bill to US Department of Labor as well but I’ve been having a difficult time getting paid by them. Can anyone who has dealt with them give me some pointers on how to deal with them/get paid or at least how I submit appeals or disputes to get paid? I know they are a federal WC insurance so they are not under the state’s jurisdiction. I even have trouble getting a claim/case file number from USDL as they state they cannot give out that information/refuse to give that info out. Any help would be great!
Anyone know a code for “Strong labor pains”? Please help.
Hello, I searched the Index under Pain / Labor / Contractions and I keep finding myself with O62.0/9 however, I really don’t feel this is correct.
Any suggestions / recommendations, please.
Thank you! Thank you! Thank you!
L&D Admitting Dx and Labor Pains
Hi, I’m still an entry level coder, have not yet mastered the 2017 guidelines, and trying to adapt to the 2018 updated guidelines in chapter 15.
My main struggle has been and still is, "Labor pains" as stated in patients reason for admission.
My understanding for 2018 guidelines, Chapter 15-b-4 When a delivery occurs, "the condition that prompted the admissions should be sequenced as the principal diagnosis."
If "strong labor pains" or "labor pains" was stated, how do I code for that? I must be overlooking something because I searched the index under Pain, Labor, and Contractions, and haven’t not found one that I’m comfortable with.
Has anyone encountered this?
Already in desperate mode.
Thank you in advance.
Maternal Care vs. Obstructed Labor
Hello, I’m wondering if anyone can clear up the difference between these two categories? I have used the maternal care codes before to support c-sections (example 59514 O34.211 or O32.0XX0) but today ran across an article that said "If the condition was present prior to labor but didn’t impact the labor and/or delivery you use the "maternal care for". If it exists and then impairs the labor and/or delivery you use the "obstructed labor" version. I have a PT who had a c-section due to cephalopelvic disproportion which I would have coded as O33.9 but now I’m second guessing myself. Help!
Active Labor
We are a SMALL outpatient hospital with no OB. I’ve been here for three years and this has never happened… Pt came into ER and the physician documented active labor. The pt was transferred to another hospital before delivery. I’m having a hard time finding a dx code for active labor, how would this be coded??
Any and all help is appreciated!! Thank you!
Induction of Labor vs Post-term Pregnancy
Hi, I’m trying to find the Admitting Dx and reason stated is, Induction of Labor.
Documentation does not state, Induction of Labor due to Post-term however, it does show that she is post-term.
I just wanted to see if using Post-term (O48.0) is acceptable because Induction of Labor is a procedure and not a Dx.
Documentation does not state, Induction of Labor due to Post-term however, it does show that she is post-term.
I just wanted to see if using Post-term (O48.0) is acceptable because Induction of Labor is a procedure and not a Dx.
Thank you!
Labor Epidurals
If an anesthesiologist places a labor epidural and he is the only person involved in the case, can he be involved in other cases?
Reduced Labor Epidural
I have a scenario that was presented to me. The anesthesiologist begins the process of placing the Epidural. The patient states that she feels the need to push, she is laid down and delivers the baby. Since the epidural was never placed how should this be coded? I know it should be the 01967, but can we bill this with a -52 modifier for Reduced Services since the epidural was never actually placed?
Thanks