Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesAnesthesia for Other ProceduresCPT cpt-01992-anesthesia-for-nerve-block-prone-supine
    Ask Trek AI about this page

    CPT 01992: Anesthesia for Nerve Block or Injection, Prone or Supine

    Commercial payers pay $70 on average nationally for this procedure.

    CPT code 01992 describes anesthesia services provided when an anesthesia clinician administers or manages anesthesia for a diagnostic or therapeutic nerve block or injection performed by another provider, with the patient positioned prone or lying flat; service type: anesthesia for nerve block/injection; typical site of service: procedure suite, ambulatory surgical center, or hospital-based operating or procedure room where nerve blocks/injections are performed.

    For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.

    Customize your policy alerts

    Sign up for cpt 01992 policy alerts

    Get alerted when payer policies referencing 01992 are released or updated.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    National Reimbursement Benchmarks

    For CPT 01992 the average commercial benchmark is represented by BUCA at $70.3, while individual commercial payers show distinct central tendencies: Aetna’s median is $61, Blue Cross Blue Shield’s median is $52.3, Cigna’s median is $87, and UnitedHealth Group’s median is $63.8. Cigna posts the highest mean at $97.2 and the highest single observed max at $159.20, while UnitedHealth Group’s max is constrained to $122.70; these central measures indicate Cigna pays notably above the BUCA average and BCBS sits below it.

    Examining dispersion using the interquartile spread (P75 minus P25) highlights variability: Aetna’s IQR is $40.7, Blue Cross Blue Shield’s IQR is $38.4, BUCA’s IQR is $44.8, Cigna’s IQR is $55.7, and UnitedHealth Group’s IQR is $28.9. UnitedHealth Group displays the tightest payer band at $28.9, while Cigna is the widest at $55.7, suggesting Cigna’s commercial reimbursements are the most variable around its central tendency and UnitedHealth Group’s are the most consistent.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools
    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 54-year-old patient with chronic low back pain (M54.5) and radicular symptoms presents to an interventional pain clinic for a fluoroscopy-guided lumbar transforaminal epidural steroid injection performed by an interventional pain physician. An anesthesiologist or anesthesiologist assistant provides monitored anesthesia care (MAC) for the injection while the patient is positioned prone (lying flat) on the procedure table. The anesthetic team performs airway monitoring, intravenous sedation/analgesia titration, hemodynamic monitoring, and management of sedation-related events; the diagnostic or therapeutic nerve block/injection itself is performed by the interventionalist. Documentation includes pre-procedure evaluation (ASA status), intra-procedure sedation records (drugs, doses, vitals), and post-anesthesia recovery notes. Typical workflow: pre-op assessment by anesthesia, consenting for sedation (separate from procedural consent), initiation of IV access and sedation in the procedure room, continuous monitoring during prone injection, handoff to recovery staff after emergence, and anesthesia billing for the anesthesia services associated with the injection using 01992 when the patient is prone.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    64450Injection, anesthetic agent; other peripheral nerve or branch

    Related Modifiers

    7 rows

    ModifierDescriptionWhen to Use
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    367500000XCertified Registered Nurse Anesthetist(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
    367H00000XAnesthesiologist AssistantAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants …
    207LC0200XCritical Care Medicine (Anesthesiology) PhysicianAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialis…
    363LG0600XGerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
    101200000XDrama TherapistDrama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherap…
    261QP0905XState or Local Public Health Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    251X00000XSupports Brokerage AgencyA provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with…

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 4

    7 rows

    PolicyPayerEffective Date
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Elective Inpatient Services (for Idaho Only)UnitedHealthcare2026-06-01
    Sites of Servicepriority health2026-06-01
    Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Servicesuniverahealthcare2026-05-21

    Related Codes

    CPT-01990-ANESTHESIOLOGY-ORGAN-PROCUREMENT-PHYSIOLOGIC-SUPPORT

    CPT 01990: Anesthesiology Physiological Support for Brain-Dead Organ Donor

    CPT-01991-ANESTHESIA-FOR-NERVE-BLOCK-INJECTION-NON-PRONE

    CPT 01991: Anesthesia for Nerve Block or Injection (Nonprone)

    CPT-01996-ANESTHESIA-MANAGEMENT-CONTINUOUS-NEURAXIAL-DRUG-ADMINISTRATION

    CPT 01996: Anesthesia for Continuous Epidural or Subarachnoid Drug Administration

    CPT-01999-UNLISTED-ANESTHESIA-PROCEDURE

    CPT 01999: Anesthesia Unlisted Procedure

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Represents the nerve block/injection procedure often performed by an interventionalist while anesthesia services are reported separately with 01992 when anesthesia is provided by a different provider.

    64483 | Injection(s), anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level | Common therapeutic injection that the proceduralist performs while MAC is provided by anesthesia and billed under 01992 for prone positioning.

    62322 | Injection(s) of diagnostic or therapeutic substance(s), interlaminar epidural; cervical or thoracic | Alternative interlaminar epidural injection procedure performed by the proceduralist with separate anesthesia services reported under 01992 when anesthesia management is provided by another clinician.

    01991 | Anesthesia for diagnostic or therapeutic nerve blocks and injections; supine position | Companion anesthesia code used when the patient is supine; 01992 is used specifically when the patient is prone (lying flat) and the block is performed by another provider.