CPT 95990 · Intrathecal Pump · Sunshine Health (Centene) — Florida Medicaid

Pain Pump — Refill (by clinician) at Sunshine Health (Centene) — Florida Medicaid.

How Sunshine Health (Centene) — Florida Medicaid 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.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Covered

Prior auth No prior auth

Last reviewed 2026-05-06

Policy numberCP.MP.173

Criteria summary

High-level themes from the Sunshine Health (Centene) — Florida Medicaid 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.

Source: Centene CP.MP.173 (Implantable Intrathecal or Epidural Pain Pump) — adopted by Sunshine Health FL Medicaid

See the full Sunshine Health (Centene) — Florida 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.

Pain Pump — Refill (by clinician) at Sunshine Health (Centene) — Florida Medicaid.

Criteria summary

See the full Sunshine Health (Centene) — Florida Medicaid criteria.

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