CPT 62362 · Intrathecal Pump · Priority Partners MCO
Pain Pump — Programmable Pump Insertion at Priority Partners MCO.
How Priority Partners MCO approaches CPT 62362 (Pain Pump — Programmable Pump Insertion) for prior-authorization review: at last review on 2026-04-27, 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
2026-04-27
Criteria summary
High-level themes from the Priority Partners MCO policy of record for CPT 62362. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 24 weeks of conservative care typically required.
- Prior Successful intrathecal opioid trial documentation required (typically with ≥50% relief).
See the full Priority Partners MCO criteria.
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