CPT 62350 · Intrathecal Pump · Wellpoint Maryland
Pain Pump — Catheter Implantation (tunneled) at Wellpoint Maryland.
How Wellpoint Maryland approaches CPT 62350 (Pain Pump — Catheter Implantation (tunneled)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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Carelon IPM (MSK01) / Anthem CG-SURG-15 (related)Criteria summary
High-level themes from the Wellpoint Maryland 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.
Source: Anthem Medical Policy / Carelon IPM — Intrathecal Drug Delivery (Pain & Spasticity)
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