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So we get a flat fee for our epidurals... and don't bill for continuous epidurals. Pop em in between cases and then go back down to the main OR.
The main reason we want to start doing this is the ever annoying VBACs. We place epidurals for them, but are now contemplating billing as continuous as we need to stay in the hospital until they deliver.... so might as well bill for it too.
When rotating through a high volume OB hospital a while back, wed pop in tons of epidurals and had the CRNAs round every 15 minutes and chart some vitals, asses levels, and go up or down on the rate if necessary. This was then billed as continuous.
What do you do in your practice? Continuous epidural...? If so, what do you document and what is the modifier/cpt code?
Thx.
The main reason we want to start doing this is the ever annoying VBACs. We place epidurals for them, but are now contemplating billing as continuous as we need to stay in the hospital until they deliver.... so might as well bill for it too.
When rotating through a high volume OB hospital a while back, wed pop in tons of epidurals and had the CRNAs round every 15 minutes and chart some vitals, asses levels, and go up or down on the rate if necessary. This was then billed as continuous.
What do you do in your practice? Continuous epidural...? If so, what do you document and what is the modifier/cpt code?
Thx.