Does Z73.3 require prior authorization?

No, Z73.3 does not require prior authorization (medium confidence). Covered without prior authorization by at least one policy, though another does not cover it.

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`Z73.3`, Stress, not elsewhere classified

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization by at least one policy, though another does not cover it (medium 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

ANTHEM-MED.00138, Wearable Devices for Stress Relief and Management

AETNA-CPB-0151, Hippotherapy

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Z73.3, Stress, not elsewhere classified