CPT code 01992: Prone injection anesthesia, diagnostic or therapeutic blocks2026 Medicare rate & RVUs in New Jersey
Anesthesia for diagnostic or therapeutic nerve blocks and injections performed with the patient prone, reported for the anesthesia service.
CMS doesn’t publish an office rate for 01992 in New Jersey.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 01992 covers
01992 describes anesthesia furnished for a diagnostic or therapeutic nerve block or injection performed with the patient prone. These cases commonly occur in interventional pain settings, including injections near the spine, when an anesthesia professional supports the procedure while the patient remains prone. The anesthesia professional reports the anesthesia service; the clinician performing the block or injection documents that procedure separately.
Choose 01992 rather than 01991 when the patient is prone; 01991 is for these services when the patient is not prone. For percutaneous image-guided spinal injection procedures classified by region, compare 01937 for cervical or thoracic procedures and 01938 for lumbar or sacral procedures. The record should identify the block or injection, its site and indication, the patient’s position, and the anesthesia start and end times. Medicare payment is (5 base units plus time units) multiplied by the locality’s anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units to one decimal place, from anesthesia preparation until the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; 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.
Where 01992 pays more and less in New Jersey
| Payment locality | Office | Facility |
|---|---|---|
| Northern New Jersey | Unavailable | Unavailable |
| Rest of New Jersey | Unavailable | Unavailable |
How the 01992 rate is calculated
Each of 01992’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 · 01992
RVUs × geographic indexes × conversion factor
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 01992
01992 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 · 01992
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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01992 isn’t priced in this setting.
01992 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 01991Nerve block anesthesiaNon-prone procedures
- The key distinction is patient position: 01992 is for prone procedures, while 01991 is for procedures performed with the patient not prone.
- 01937Spinal procedure anesthesiaCervical or thoracic region
- 01937 covers anesthesia for qualifying percutaneous image-guided spinal injection procedures in the cervical or thoracic region; 01992 is the prone nerve-block or injection category.
- 01938Spinal procedure anesthesiaLumbar or sacral
- 01938 covers anesthesia for qualifying percutaneous image-guided lumbar or sacral spinal injection procedures; 01992 is selected for prone nerve blocks or injections outside that specific category.
01992 billing questions
How do I choose between 01992 and 01991?
Use 01992 when the patient is prone for the diagnostic or therapeutic nerve block or injection. Use 01991 when the patient is not prone.
Is 01992 used for every spinal injection performed prone?
No. For percutaneous image-guided spinal injection procedures classified by region, compare 01937 for cervical or thoracic procedures and 01938 for lumbar or sacral procedures.
Does 01992 report the nerve block or injection itself?
No. It reports the anesthesia service; the clinician performing the block or injection reports that procedure separately when appropriate.
What should the documentation show?
The record should identify the procedure, anatomical site, indication, and prone positioning, as well as the anesthesia start and end times.
How are Medicare anesthesia units calculated for 01992?
The code has 5 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute units to one decimal place, then multiplies the total by the locality’s anesthesia conversion factor.
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
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