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CPT code 01939: Neurolysis anesthesia, cervical or thoracic2026 Medicare rate & RVUs in Puerto Rico

Reports anesthesia for percutaneous, image-guided neurolytic treatment of cervical or thoracic nerves, distinct from injection, aspiration, and lumbar or sacral neurolysis.

CMS RVU26DEffective Oct 1, 2026One payment locality19.4K Medicare services in 2024

CMS doesn’t publish a rate for 01939 in Puerto Rico.

UnavailableOffice (non-facility)
UnavailableHospital or facility

Check a contract rate as a % of Medicare · 01939 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 01939 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 01939 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 01939 covers

This service covers anesthesia for percutaneous, image-guided neurolytic treatment of nerves in the cervical or thoracic region. A proceduralist performs the nerve treatment, while an anesthesia practitioner reports the anesthesia service. The neurolytic agent is used to destroy targeted nerve tissue.

Choose 01939 for cervical or thoracic neurolytic treatment, rather than 01937 for image-guided injection, drainage, or aspiration, or 01940 for lumbar or sacral neurolysis. The operative report should identify the treated region, nerve target, image-guided percutaneous approach, and neurolytic procedure; the anesthesia record should support the anesthesia service and time. This code has 4 base units; Medicare payment is the base units plus time units, multiplied by the locality’s anesthesia conversion factor. Anesthesia time runs from patient preparation by the anesthesia practitioner until personal attendance ends and the patient can safely be placed under postoperative care; minutes convert to 15-minute units to one decimal place, and the conversion factor varies by locality.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 01939

01939 in Puerto Rico vs other payment areas
  1. Puerto Rico · this pageUnavailable
  2. Los Angeles, CA · CaliforniaUnavailable
  3. Washington, DC area · District of ColumbiaUnavailable
  4. Miami, FL · FloridaUnavailable
  5. Chicago, IL · IllinoisUnavailable
  6. Manhattan, NY · New YorkUnavailable
  7. Alaska · AlaskaUnavailable

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

01939 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama——
ArkansasArkansas——
ArizonaArizona——
Bakersfield, CACalifornia——
Chico, CACalifornia——
El Centro, CACalifornia——
Fresno, CACalifornia——
Hanford, CACalifornia——

01939 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
01939 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 01939 in every payment locality

How the 01939 rate is calculated

Each of 01939’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 01939

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 01939

01939 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 01939

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

01939 isn’t priced in this setting.

Codes related to 01939

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 01939
CodeHow it relatesOffice range, Puerto Rico
Used instead
01937Spinal procedure anesthesia, cervical or thoracic regionFor cervical or thoracic image-guided injection, drainage, or aspiration rather than neurolytic treatment.No office rate
01941Spine procedure anesthesia, cervical or thoracicFor cervical or thoracic neuromodulation or intravertebral procedures instead of neurolytic treatment.No office rate
Same family
01940Spinal neurolysis anesthesia, lumbar or sacralThe corresponding neurolytic anesthesia code for the lumbar or sacral region.No office rate

How 01939 has changed in Puerto Rico

01939 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2022

    RVU22A

    No ratechanged toNo rate

    Held through RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01UnavailableUnavailableRVU26D
2026-07-01UnavailableUnavailableRVU26C
2026-04-01UnavailableUnavailableRVU26B
2026-01-01UnavailableUnavailableRVU26A
2025-10-01UnavailableUnavailableRVU25D
2025-07-01UnavailableUnavailableRVU25C
2025-04-01UnavailableUnavailableRVU25B
2025-01-01UnavailableUnavailableRVU25A
2024-10-01UnavailableUnavailableRVU24D
2024-07-01UnavailableUnavailableRVU24C
2024-04-01UnavailableUnavailableRVU24B
2024-03-09UnavailableUnavailableRVU24AR
2024-01-01UnavailableUnavailableRVU24A
2023-10-01UnavailableUnavailableRVU23D
2023-07-01UnavailableUnavailableRVU23C
2023-04-01UnavailableUnavailableRVU23B
2023-01-01UnavailableUnavailableRVU23A
2022-10-01UnavailableUnavailableRVU22D
2022-07-01UnavailableUnavailableRVU22C
2022-04-01UnavailableUnavailableRVU22B
2022-01-01UnavailableUnavailableRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 01939 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

01939 billing questions

How does this code differ from 01937?

Use 01939 for cervical or thoracic neurolytic treatment. Code 01937 applies to percutaneous image-guided injection, drainage, or aspiration procedures in that region.

When would 01940 apply instead?

Code 01940 applies to neurolytic procedures in the lumbar or sacral region. The treated region distinguishes it from 01939.

Is the nerve procedure itself included in this anesthesia code?

No. This code represents the anesthesia service; the proceduralist reports the nerve procedure separately.

How are time units calculated?

Anesthesia time is reported in minutes and converted to 15-minute units, calculated to one decimal place. Medicare payment combines this code’s 4 base units with the time units and applies the locality’s anesthesia conversion factor.

What should the records support?

The operative report should identify the cervical or thoracic target and the percutaneous image-guided neurolytic procedure. The anesthesia record should support the service and reported anesthesia time.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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