4 commercial payer policies list Z87.81. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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4 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Z87.81 |
|---|---|---|
| Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications and Soft Tissue Injuries | Sep 13, 2023 | Covered |
| Hippotherapy | Apr 6, 2023 | Covered |
| Pool Therapy, Aquatic Therapy or Hydrotherapy | Apr 7, 2023 | Covered |
| Work Hardening Programs | Apr 4, 2023 | Covered |