CPT 62351 · Intrathecal Pump · Medicare (Palmetto GBA MAC)
Pain Pump — Catheter Implantation (with laminectomy) at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 62351 (Pain Pump — Catheter Implantation (with laminectomy)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) policy of record for CPT 62351. Verbatim policy text and per-criterion analysis are available after sign-in.
- Prior IT trial documentation required (typically with ≥50% relief).
Source: Medicare (Palmetto GBA MAC) LCD / Local Coverage Article
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