CPT 62350 · Intrathecal Pump · Geisinger Health Plan — PA HealthChoices
Pain Pump — Catheter Implantation (tunneled) at Geisinger Health Plan — PA HealthChoices.
How Geisinger Health Plan — PA HealthChoices approaches CPT 62350 (Pain Pump — Catheter Implantation (tunneled)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Geisinger MP 293Criteria summary
High-level themes from the Geisinger Health Plan — PA HealthChoices policy of record for CPT 62350. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
- Prior Intrathecal trial documentation required (typically with ≥50% relief).
See the full Geisinger Health Plan — PA HealthChoices criteria.
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