How To Use CPT Code 01967

cpt 01967 describes the administration of neuraxial labor analgesia/anesthesia for planned vaginal delivery. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01967.

1. What is cpt 01967?

cpt 01967 is used to describe the administration of neuraxial labor analgesia/anesthesia for planned vaginal delivery. This code encompasses the placement of a subarachnoid needle, drug injection, and any necessary replacement of an epidural catheter during labor. It is typically performed by an anesthesia provider to provide pain relief during the delivery process.

2. Official Description

The official description of cpt 01967 is: ‘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).’

3. Procedure

1. The anesthesia provider performs a preoperative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors them during the vaginal delivery performed by another provider.
3. The anesthesia provider administers medications as necessary and utilizes various forms of monitoring, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
4. The anesthesia provider documents the types and amounts of medications administered, patient responses, and the start and stop times of anesthesia care.
5. Following the procedure, the anesthesia provider oversees the patient’s transfer to postanesthesia care.

4. Qualifying circumstances

cpt 01967 is used for planned vaginal deliveries where neuraxial labor analgesia/anesthesia is required. This may include patients who have a preference for pain relief during labor or those with medical conditions that necessitate anesthesia. The procedure involves the placement of a subarachnoid needle, drug injection, and potential replacement of an epidural catheter during labor.

5. When to use cpt code 01967

cpt 01967 should be used when an anesthesia provider administers neuraxial labor analgesia/anesthesia for a planned vaginal delivery. It is important to ensure that the procedure involves the placement of a subarachnoid needle, drug injection, and potential replacement of an epidural catheter during labor. If these elements are not present, a different code may be more appropriate.

6. Documentation requirements

To support a claim for cpt 01967, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used during the procedure
• Patient responses and any complications
• Start and stop times of anesthesia care
• Transfer of the patient to postanesthesia care

7. Billing guidelines

When billing for cpt 01967, ensure that the procedure meets the criteria outlined in the official description. It is important to accurately document the start and stop times of anesthesia care, as well as any additional procedures or services provided. If other anesthesia services were performed during the same encounter, assign the most complex anesthesia procedure code with the highest base unit value. Append the appropriate HCPCS modifiers as required by the payer.

8. Historical information

cpt 01967 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

1. An anesthesia provider administers neuraxial labor analgesia/anesthesia for a patient undergoing a planned vaginal delivery.
2. An anesthesia provider performs a repeat subarachnoid needle placement and drug injection during labor for a patient who requires additional pain relief.
3. An anesthesia provider replaces an epidural catheter during labor for a patient who experiences complications.
4. An anesthesia provider administers neuraxial labor analgesia/anesthesia for a patient with a high-risk pregnancy.
5. An anesthesia provider monitors a patient during a planned vaginal delivery, ensuring the patient’s comfort and safety.
6. An anesthesia provider documents the start and stop times of anesthesia care during a vaginal delivery.
7. An anesthesia provider oversees the transfer of a patient to postanesthesia care following a planned vaginal delivery.
8. An anesthesia provider administers medications and utilizes various forms of monitoring during a vaginal delivery.
9. An anesthesia provider communicates with the delivering provider to ensure optimal pain relief for the patient during a vaginal delivery.
10. An anesthesia provider evaluates a patient preoperatively to determine the appropriate anesthesia plan for a planned vaginal delivery.