CPT 95990 · Intrathecal Pump · Molina Healthcare of Florida
Pain Pump — Refill (by clinician) at Molina Healthcare of Florida.
How Molina Healthcare of Florida approaches CPT 95990 (Pain Pump — Refill (by clinician)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-06
Policy number
Molina MCP — Intrathecal Pump RefillCriteria summary
High-level themes from the Molina Healthcare of Florida policy of record for CPT 95990. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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