CPT 95991 · Intrathecal Pump · California Medicaid (Medi-Cal)
Pain Pump — Refill w/ Reprogramming at California Medicaid (Medi-Cal).
How California Medicaid (Medi-Cal) approaches CPT 95991 (Pain Pump — Refill w/ Reprogramming) for prior-authorization review: at last review on Date not on file, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the California Medicaid (Medi-Cal) policy of record for CPT 95991. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
See the full California Medicaid (Medi-Cal) criteria.
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