01990 CPT® code: payer coverage and prior authorization01990 appears in 10 coverage policies from Anthem, Blue Cross & Blue Shield of Mississippi, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Anthem | Anesthesia Services and Moderate (“Conscious”) Sedation (CG-MED-21) | covered if criteria are met | Nov 6, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Allogeneic Pancreas Transplant | listed, no stance | payer document | |
| Blue Cross & Blue Shield of Mississippi | Heart Transplant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Heartlung Transplant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Isolated Small Bowel Transplant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Kidney Transplant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Liver Transplant And Combined Liverkidney Transplant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Lung And Lobar Lung Transplant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Small Bowelliver And Multivisceral Transplant | covered if criteria are met | payer document | |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.