CPT 62362 · Intrathecal Pump · BCBS Texas
Pain Pump — Programmable Pump Insertion at BCBS Texas.
How BCBS Texas approaches CPT 62362 (Pain Pump — Programmable Pump Insertion) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-PainPumpsCriteria summary
High-level themes from the BCBS Texas policy of record for CPT 62362. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Prior Intrathecal trial via percutaneous catheter or single-shot bolus documentation required (typically with ≥50% relief).
Source: Clearway Master Payer Guidelines v2025 — Pain Pumps
See the full BCBS Texas criteria.
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