Anesthesia

01967 — Epidural anesthesia for labor

Continuous epidural for labor pain. Often a surprise out-of-network bill from the anesthesiologist.

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Typical setting: Hospital labor and delivery
National avg charge (illustrative): Insurance allowed $500-$1,800; out-of-network can be much higher.
Most-disputed reason: Out-of-network anesthesiologist at an in-network hospital.

What it means

What 01967 actually means

CPT 01967 is anesthesia for labor — typically a continuous epidural placed by an anesthesiologist or CRNA. It's separately billed from the delivery itself.

Even at an in-network hospital, your anesthesiologist may not be in your network. The No Surprises Act (2022) protects you from balance billing in this scenario in most cases.

Common errors with this code

What goes wrong on real bills.

Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).

Out-of-network anesthesiologist balance billing despite in-network facility (NSA violation).
Time-based billing inflated beyond actual epidural time.
Billed both as anesthesia and as a separate procedure.

If you see 01967 on your bill

Three steps before paying.

1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →

2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →

3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →

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