Rubrica

CPT 62365 · Intrathecal Pump · Molina Healthcare of Florida

Pain Pump — Removal at Molina Healthcare of Florida.

How Molina Healthcare of Florida approaches CPT 62365 (Pain Pump — Removal) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-06
Policy numberMolina MCP — Intrathecal Pumps

Criteria summary

High-level themes from the Molina Healthcare of Florida policy of record for CPT 62365. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Molina Clinical Policy — Implanted Intrathecal Drug Delivery Systems (Pain Pumps) (adopted by Molina Healthcare of Florida Medicaid)

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