Rubrica

CPT 62350 · Intrathecal Pump · Liberty Mutual / Helmsman WC

Pain Pump — Catheter Implantation (tunneled) at Liberty Mutual / Helmsman WC.

How Liberty Mutual / Helmsman WC approaches CPT 62350 (Pain Pump — Catheter Implantation (tunneled)) for prior-authorization review: at last review on 2026-05-09, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-09

Criteria summary

High-level themes from the Liberty Mutual / Helmsman WC policy of record for CPT 62350. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Liberty Mutual / Helmsman WC Workers' Compensation Medical Treatment Guidelines

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