CPT 62362 · Intrathecal Pump · Fidelis Care NJ (Centene) — NJ Medicaid
Pain Pump — Programmable Pump Insertion at Fidelis Care NJ (Centene) — NJ Medicaid.
How Fidelis Care NJ (Centene) — NJ Medicaid approaches CPT 62362 (Pain Pump — Programmable Pump Insertion) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-06
Policy number
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 62362. 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.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →