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Implantable Infusion Pumps for Pain or Spasticity - Medicare Advantage (Revised)

Humana·Pain Management, Neurology, Neurosurgery +2 more·Pharmacy
Effective date
Jul 1, 2025
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicare Advantage has revised their policy for implantable infusion pumps used for pain or spasticity management, establishing specific medical necessity criteria including temporary trial requirements and success metrics. The policy provides detailed coverage determination guidelines for both antispasmodic drugs for severe spasticity and drugs for severe intractable pain treatment.

Action Required

Action needed
By July 1, 2025: Billing team must update prior authorization requirements for implantable infusion pump procedures to include documented temporary trial results, baseline Ashworth scores of at least 3 for spasticity cases, and evidence of 6-week failed conservative treatment. Providers must document FDA-approved drug usage and absence of contraindications. Update encounter forms to capture required medical necessity criteria as claims may be denied without proper documentation.

Affected Billing Codes

62322
62323
62324
62325
62326
62327
C2626
62360
62361
62362
C1772
C1891
E0782
E0783