CPT 95991 · Intrathecal Pump · New Jersey Medicaid
Pain Pump — Refill w/ Reprogramming at New Jersey Medicaid.
How New Jersey Medicaid approaches CPT 95991 (Pain Pump — Refill w/ Reprogramming) for prior-authorization review: at last review on 2026-05-07, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the New Jersey 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.
Source: NJ Division of Medical Assistance and Health Services (DMAHS)
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