CPT 95991 · Intrathecal Pump · Wellpoint of New Jersey — NJ Medicaid
Pain Pump — Refill w/ Reprogramming at Wellpoint of New Jersey — NJ Medicaid.
How Wellpoint of New Jersey — 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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Carelon IPM (MSK01) / Anthem CG-SURG-15 (related)Criteria summary
High-level themes from the Wellpoint of New Jersey — NJ Medicaid policy of record for CPT 95991. Verbatim policy text and per-criterion analysis are available after sign-in.
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Source: Anthem Medical Policy / Carelon IPM — Intrathecal Drug Delivery (Pain & Spasticity)
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