CPT 95991 · Intrathecal Pump · Horizon NJ Health — NJ Medicaid
Pain Pump — Refill w/ Reprogramming at Horizon NJ Health — NJ Medicaid.
How Horizon NJ Health — 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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Criteria summary
High-level themes from the Horizon NJ Health — NJ Medicaid 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 Horizon NJ Health — NJ Medicaid criteria.
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