CPT 95991 · Intrathecal Pump · Aetna Better Health of Florida
Pain Pump — Refill w/ Reprogramming at Aetna Better Health of Florida.
How Aetna Better Health of Florida approaches CPT 95991 (Pain Pump — Refill w/ Reprogramming) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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CPB 0161Criteria summary
High-level themes from the Aetna Better Health of Florida policy of record for CPT 95991. 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 Florida criteria.
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