J2003 Inj, lidocaine hcl, 1 mgInjection, lidocaine hydrochloride, 1 mg
Status E: excluded from the PFS by regulation.
J2003 appears in 11 coverage policies from Aetna, Blue Cross Blue Shield of Massachusetts.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Back Pain - Invasive Procedures (0016) | not covered | Oct 6, 2026 | payer document |
| Aetna | Complex Regional Pain Syndrome (CRPS): Treatments (0447) | not covered | Jul 16, 2026 | payer document |
| Aetna | Eagle's and Ernest Syndrome (0400) | listed, no stance | Jun 30, 2026 | payer document |
| Aetna | Headaches: Nonsurgical Management (0462) | not covered | Jul 23, 2026 | payer document |
| Aetna | Injectable Medications (0020) | listed, no stance (range J0278-J2543) | Mar 5, 2026 | payer document |
| Aetna | Nebulizers (0065) | not covered | Mar 18, 2026 | payer document |
| Aetna | Post-Herpetic Neuralgia (0725) | not covered | Oct 20, 2025 | payer document |
| Aetna | Tinnitus Treatments (0406) | not covered | Jul 10, 2026 | payer document |
| Aetna | Trigeminal Neuralgia: Treatments (0374) Topical ambroxol, Erenumab, Intravenous ketamine | not covered | Jun 29, 2026 | payer document |
| Aetna | Viscosupplementation (0179) Sorbitol | not covered | Sep 2, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Intravenous Anesthetics for the Treatment of Chronic Pain (291) | unproven / investigational | 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.