CPT 62351 · Intrathecal Pump · Humana Healthy Horizons in Florida
Pain Pump — Catheter Implantation (with laminectomy) at Humana Healthy Horizons in Florida.
How Humana Healthy Horizons in Florida 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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HUM-0322 (verify current MCP)Criteria summary
High-level themes from the Humana Healthy Horizons in Florida policy of record for CPT 62351. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 24 weeks of conservative care typically required.
- Prior Intrathecal trial demonstrating ≥50% pain reduction or significant functional improvement documentation required (typically with ≥50% relief).
Source: HHH-FL adopts Humana MCP for Intrathecal Drug Delivery / Pain Pumps (HUM-0322 lineage)
See the full Humana Healthy Horizons in Florida criteria.
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