CPT 95991 · Intrathecal Pump · Molina Healthcare of Florida
Pain Pump — Refill w/ Reprogramming at Molina Healthcare of Florida.
How Molina Healthcare 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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Molina MCP — Intrathecal Pump Refill+ReprogCriteria summary
High-level themes from the Molina Healthcare of Florida 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.
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