CPT 95991 · Intrathecal Pump · Fidelis Care NJ (Centene) — NJ Medicaid
Pain Pump — Refill w/ Reprogramming at Fidelis Care NJ (Centene) — NJ Medicaid.
How Fidelis Care NJ (Centene) — NJ Medicaid 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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Evolent IPM 2025 + Fidelis NJ Medicaid Provider ManualCriteria summary
High-level themes from the Fidelis Care NJ (Centene) — NJ Medicaid policy of record for CPT 95991. Verbatim policy text and per-criterion analysis are available after sign-in.
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