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ICD-10-CM Z91.414, Personal history of adult intimate partner abuse | No Prior Auth

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`Z91.414`, Personal history of adult intimate partner abuse

ICD-10-CM

Prior Authorization

No Prior Auth Required

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

97545(1 policies)97546(1 policies)S00.00X(1 policies)S9117(1 policies)T88.(1 policies)Z51.89(1 policies)Z85.00(1 policies)97537(1 policies)

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