01992 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 01992

Payer coverage policies that name 01992

01992 appears in 3 coverage policies from Anthem, Blue Cross Blue Shield of Massachusetts, Cigna.

PayerPolicyRole in policyReviewedDocument
AnthemAnesthesia Services for Interventional Pain Management Procedures (CG-MED-78)covered if criteria are metAug 13, 2026payer document
Blue Cross Blue Shield of MassachusettsMonitored Anesthesia Care (MAC) (154)listed, no stancepayer document
CignaAnesthesia Services for Interventional Pain Management Procedures in an Adult (0551)covered if criteria are metSep 15, 2026payer document

Medicaid fee-for-service

  • AZ: $32.12 (anesthesia), effective Oct 1, 2026
  • CO: $16.98 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $82.33 (physician, non-facility), effective Jan 1, 2026
  • IN: $0.00 (professional, facility), effective Oct 15, 2003
  • KS: $0.00 (default, Exempt Physician), effective Jan 1, 2026
  • MA: $5.00 (anesthesia), effective Aug 1, 2021
  • MS: $5.00 (anesthesia), effective Oct 1, 2003
  • NY: $5.00 (physician_anesthesia), effective Apr 1, 2026
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $5.00 (certified_registered_nurse_anesthetist_crna_anesthesiologist, Certified Registered Nurse Anesthetist (Crna) / Anesthesiologist Assistant (Aa), facility), effective Mar 1, 2019
  • VA: $4.00 (medical), effective Jan 1, 2003
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $5.00 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.