Payer PolicyActive
MED.00138 Wearable Devices for Stress Relief and Management
ANTHEM-MED.00138
Anthem
Effective: January 30, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses wearable devices used to manage, monitor, or prevent stress and stress-related conditions, including audio-visual entrainment (AVE) wearables. Anthem considers these devices investigational/experimental and not medically necessary; they are not covered for any indication. This non-coverage applies to all diagnoses and uses (e.g., ICD-10 F43.0, F43.9, R45.7, R45.89, Z56.6, Z73.3) and may be submitted under unlisted codes such as 99199 and E1399.
Coverage Criteria Preview
Key requirements from the full policy
"Wearable devices for management, monitoring or prevention of stress and stress-related conditions are consideredinvestigational and not medically necessaryfor all indications."
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