Monitored Anesthesia Care
JH · Effective Oct 1, 2015
3 active Medicare policies list 01939, and 4 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JL · Effective Jan 1, 2026
4 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 01939 |
|---|---|---|
| Anesthesia Services for Interventional Pain Management Procedures | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 01939 |
|---|---|---|
| Anesthesia Services for Interventional Pain Management Procedures in an Adult | Sep 15, 2026 | Covered |
| Policy | Effective | Status of 01939 |
|---|---|---|
| EOCCO Pain Management Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 01939 |
|---|---|---|
| Health Alliance Plan MSK Code List | Jan 1, 2026 | Prior auth required |