CPT 95991 · Intrathecal Pump · Priority Partners MCO
Pain Pump — Refill w/ Reprogramming at Priority Partners MCO.
How Priority Partners MCO approaches CPT 95991 (Pain Pump — Refill w/ Reprogramming) for prior-authorization review: at last review on 2026-04-27, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-04-27
Criteria summary
High-level themes from the Priority Partners MCO 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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