How To Bill CPT 01960, CPT 01961, CPT 01967, CPT 01968 & CPT 01969
Below the descriptions and billing guidelines for CPT 01960, CPT 01961, CPT 01967, CPT 01968 and CPT 01969.
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1. CPT 01960
CPT code 01960 is described by the CPT manual as: “Anesthesia for vaginal delivery only.”
1.1 Procedure
The goal of the 01960 CPT code procedure is to perform anesthesia services for a patient (obstetric) who is delivering a baby vaginally.
The anesthesia provider performs a preoperative evaluation of the patient who is delivering a baby vaginally.
The anesthesia provider induces the patient and monitors the obstetric patient during vaginal delivery that is performed by another provider.
Following the vaginal delivery of the baby, the anesthesia provider oversees the patient’s transfer to postanesthesia care.
1.2 Billing Guidelines
This code can only be reported for female patients.
2. CPT 01961
CPT code 01961 is described by the CPT manual as: “Anesthesia for cesarean delivery only.”
2.1 Procedure
The goal of the 01961 CPT code procedure is to perform anesthesia services for a cesarean delivery.
The anesthesia provider performs a pre–operative evaluation of the patient before the cesarean delivery.
The anesthesia provider induces the patient and monitors the patient during a cesarean delivery. This is provider by another surgeon.
Following the cesarean delivery procedure, the anesthesia provider oversees the patient’s transfer to post–anesthesia care.
2.2 Billing Guidelines
Report his code for female patients only.
3. CPT 01967
CPT code 01967 is described by the CPT manual as: “Neuraxial labor analgesia/anesthesia for planned vaginal delivery.”
3.1 Procedure
The goal of the 01967 CPT code procedure is to performs neuraxial anesthesia services to a patient who is undergoing a planned vaginal delivery.
The anesthesia provider performs a preoperative evaluation of the patient before the neuraxial anesthesia services are provider to the patient who is undergoing a planned vaginal delivery.
The anesthesia provider induces the patient and monitors the patient during the vaginal delivery (performed by another health provider).
Following the planned vaginal delivery procedure, the anesthesia provider oversees the patient’s transfer to postanesthesia care.
3.2 Billing Guidelines
CPT 01967 includes repeated subarachnoid needle placement. It also includes a drug injection or/and any replacement of an epidural catheter during labor if necessary.
4. CPT 01968
CPT code 01968 is described by the CPT manual as: “Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia.”
4.1 Procedure
The goal of the 01968 CPT code procedure is to perform anesthesia services to a patient who is undergoing a cesarean delivery after neuraxial anesthetic is administered.
The procedure is described in CPT 01697 since this code is an add-on code.
4.2 Billing Guidelines
Report CPT 01968 as add-on code only. It can be used in combination with CPT 01697.
List this code separately in addition to code to report the primary procedure.
5. CPT 01969
CPT code 01969 is described by the CPT manual as: “Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia.”
5.1 Procedure
The goal of the 01969 CPT code procedure is to provide anesthesia services to a patient who undergoes a cesarean hysterectomy (after neuraxial anesthesia).
This procedure is described in CPT 01967.
5.2 Billing Guidelines
CPT 01969 can be used in combination with CPT 01967. Only report this code as as an add-on code to CPT 01967.
Make sure to list it separately to the primary procedure code.
Go back to the complete list with the CPT Codes for general anesthesia.
