CPT 62351 · Intrathecal Pump · Fidelis Care NJ (Centene) — NJ Medicaid
Pain Pump — Catheter Implantation (with laminectomy) at Fidelis Care NJ (Centene) — NJ Medicaid.
How Fidelis Care NJ (Centene) — NJ Medicaid approaches CPT 62351 (Pain Pump — Catheter Implantation (with laminectomy)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Evolent IPM 2025 + Fidelis NJ Medicaid Provider ManualCriteria summary
High-level themes from the Fidelis Care NJ (Centene) — NJ Medicaid policy of record for CPT 62351. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Prior Successful intrathecal trial (single-shot or continuous catheter trial) documentation required (typically with ≥50% relief).
See the full Fidelis Care NJ (Centene) — NJ Medicaid criteria.
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