CPT 95991 · Intrathecal Pump · Highmark Wholecare — PA HealthChoices
Pain Pump — Refill w/ Reprogramming at Highmark Wholecare — PA HealthChoices.
How Highmark Wholecare — PA HealthChoices 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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HealthHelp IPM — Intrathecal Drug Delivery System (Pain Pump)Criteria summary
High-level themes from the Highmark Wholecare — PA HealthChoices policy of record for CPT 95991. Verbatim policy text and per-criterion analysis are available after sign-in.
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