CPT 95990 · Intrathecal Pump · Aetna Better Health of Maryland
Pain Pump — Refill (by clinician) at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 95990 (Pain Pump — Refill (by clinician)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code without prior authorization.
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CPB 0161Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 95990. Verbatim policy text and per-criterion analysis are available after sign-in.
- Prior diagnostic procedure documentation required.
Source: Aetna CPB 0161 — Intrathecal Drug Delivery (Pain Pump)
See the full Aetna Better Health of Maryland criteria.
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