Z73.3 — Stress, not elsewhere classified
ICD-10-CM
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Documentation Required
- No documentation requirements are specified in this Clinical Policy Bulletin. (The document does not list required medical records, test results, or specific clinical documentation for coverage because the service is classified as experimental/investigational and not covered for the listed indications.)
- No explicit medical record or documentation requirements are specified in this document/chunk
- No documentation requirements are specified in this excerpt.
Key Coverage Criteria
- children and adolescents with mental illness
- Mounted equine-assisted therapies (horse riding) as a component of EAT programs
- Stroke (post-stroke hemiparesis; post-stroke patients in the 1st year post-stroke)
- post-stroke patients with hemiparesis
- therapeutic horseback riding / hippotherapy applied as a supplement to conventional physiotherapy
- Note: The document also discusses applications or study populations including cerebral palsy, autism spectrum disorder, multiple sclerosis, Down syndrome, attention-deficit/hyperactivity disorder (ADHD), chronic pain, breast cancer survivors, posttraumatic stress disorder, substance use disorder, and other neurologic/psychiatric populations (these appear as referenced study populations in the literature list)
2 Active Policies
AETNA-CPB-0151 — Hippotherapy
ANTHEM-MED.00138 — MED.00138 Wearable Devices for Stress Relief and Management
Related Codes
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