01969 P1
01962 with add on code 01969-P1 The 2012 CPT manual specifically states "(Use 01969 in conjunction with 01967)". Make sure you add the Physical Status modifier -P1 to 01969.
Women do not have to wait until they are dilated to a certain level before they can ask for, or receive, an epidural. According to the ASA's current guidelines, "patients in early labor should be offered the option of receiving neuraxial analgesia (spinal or epidural) when the service is available, and it should not be withheld to meet arbitrary standards for cervical dilation." If a woman is in active, established labor, and is uncomfortable, epidural analgesia is the most effective method of pain relief. There is no medical reason to wait for a specific dilation target.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=302a85f8-7135-4174-bd4c-2bc4ad7e04c2&LandingID=fc6eb1da-98e4-43c7-bb9f-09c17e2a005d
Women do not have to wait until they are dilated to a certain level before they can ask for, or receive, an epidural. According to the ASA's (American Society of Anesthesiologists) current guidelines, "patients in early labor should be offered the option of receiving neuraxial analgesia (spinal or epidural) when the service is available, and it should not be withheld to meet arbitrary standards for cervical dilation." If a woman is in active, established labor, and is uncomfortable, epidural analgesia is the most effective method of pain relief. There is no medical reason to wait for a specific dilation target. Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=302a85f8-7135-4174-bd4c-2bc4ad7e04c2&LandingID=fc6eb1da-98e4-43c7-bb9f-09c17e2a005d In additioin, some places wont give epidural if you are too advanced in the labour as the baby could theoretically be born before the epidural is administered and kicks in so there is little point.
Women do not have to wait until they are dilated to a certain level before they can ask for, or receive, an epidural. According to the ASA's current guidelines, "patients in early labor should be offered the option of receiving neuraxial analgesia (spinal or epidural) when the service is available, and it should not be withheld to meet arbitrary standards for cervical dilation." If a woman is in active, established labor, and is uncomfortable, epidural analgesia is the most effective method of pain relief. There is no medical reason to wait for a specific dilation target.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=302a85f8-7135-4174-bd4c-2bc4ad7e04c2&LandingID=fc6eb1da-98e4-43c7-bb9f-09c17e2a005d
Spinal Block: A form of anesthesia where medication is administered into the spinal fluid to lessen labor pain or provide anesthesia for a Cesarean delivery. Epidural Block: Sometimes just referred to as "an epidural." A form of anesthesia where medication is administered through a catheter placed in the patient's back that lessens labor pain (analgesic) or provides pain relief for a Cesarean delivery (anesthetic).