Z91.414 — Personal history of adult intimate partner abuse
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Documentation Required
- No specific documentation requirements are stated in this CPB.
- The policy directs readers to check benefit plan descriptions for details regarding what constitutes treatment of illness or injury under a particular plan.
Key Coverage Criteria
- General coverage principle: Aetna medical benefit plans provide coverage only for treatment of illness or injury (check individual benefit plan descriptions for specific covered services).
- None specific for work hardening programs — Aetna does not cover work hardening programs when provided for occupational/return-to-work/reintegration or other vocational purposes, because these are considered vocational training and not treatment of illness or injury.
1 Active Policy
AETNA-CPB-0198 — Work Hardening Programs
Related Codes
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