The autocoder raises the **OB case review** alert on every obstetric anesthesia case. The alert asks a coder to confirm the case before submission, because obstetric anesthesia carries billing rules that other anesthesia cases do not.

## When it fires

The alert fires when the primary anesthesia code on the claim is an obstetric code (01958-01969). This range covers labor epidurals, cesarean delivery anesthesia, and related obstetric services. The alert fires on every case in this range. It does not mean the autocoder found an error.

## Classification

| Property | Value |
|---|---|
| Alert name | OB case review |
| Type | HARDSTOP |
| Default severity | 2 |

Type and severity are classification data the autocoder attaches to the alert.

## What a coder verifies

1. The anesthesia code matches the documented obstetric service (01958-01969).
2. Labor time handling: neuraxial placement time, total management time, and any conversion from labor analgesia to cesarean delivery anesthesia.
3. Time units or flat-fee rules for the payer, which differ widely on OB cases.
4. Modifiers and add-on codes agree with the documentation.

## Configuration

Your facility configuration controls this alert through the `ob_case_review` processing rule. You can change its severity or disable it. Discuss suppression with your compliance lead first: with the alert off, obstetric cases follow your standard review routing only.

## How this alert reaches you

What happens next depends on how your organization consumes HANK CODES. In HANK Claim Maker, a HARDSTOP alert places the claim in the review queue your administrators configured for it. Organizations that consume the coding API directly decide in their own workflow which alerts pause a claim, who reviews them, and when a claim is released.