CPT 62351 · Intrathecal Pump · Maryland Medicaid
Pain Pump — Catheter Implantation (with laminectomy) at Maryland Medicaid.
How Maryland 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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Criteria summary
High-level themes from the Maryland Medicaid policy of record for CPT 62351. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
- Prior Intrathecal opioid trial (epidural or IT). documentation required (typically with ≥50% relief).
Source: Maryland Medicaid HealthChoice Program / COMAR 10.09
See the full Maryland Medicaid criteria.
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