Freedom Health policy

Modifiers 59 and XE, XP, XS, & XU: Distinct Procedural Service - Professional

Modifiers 59 and XE, XP, XS, & XU: Distinct Procedural Service - Professional is a public Freedom Health policy (policy C-09006, effective Mar 1, 2025). It lists 113 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Freedom Health
Policy number
C-09006
Effective
Mar 1, 2025
Line of business
Commercial
States
VA
Source
www.anthem.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Freedom Health policies
09006Policies naming 09006
20527Policies naming 20527
20550Policies naming 20550
20551Policies naming 20551
20552Policies naming 20552
20553Policies naming 20553
20560Policies naming 20560
20561Policies naming 20561
20604Policies naming 20604
20606Policies naming 20606
20611Policies naming 20611
43281Policies naming 43281
43282Policies naming 43282
43283Policies naming 43283
43332Policies naming 43332
43333Policies naming 43333
43644Policies naming 43644
43645Policies naming 43645
43770Policies naming 43770
43771Policies naming 43771
43772Policies naming 43772
43773Policies naming 43773
43774Policies naming 43774
43775Policies naming 43775
43842Policies naming 43842
43843Policies naming 43843
43845Policies naming 43845
43846Policies naming 43846
43847Policies naming 43847
43848Policies naming 43848
43886Policies naming 43886
43887Policies naming 43887
43888Policies naming 43888
58140Policies naming 58140
58145Policies naming 58145
58146Policies naming 58146
58545Policies naming 58545
58546Policies naming 58546
58561Policies naming 58561
58570Policies naming 58570
58571Policies naming 58571
58572Policies naming 58572
58573Policies naming 58573
63650Policies naming 63650
63655Policies naming 63655
64486Policies naming 64486
64487Policies naming 64487
64488Policies naming 64488
64489Policies naming 64489
76512Policies naming 76512
76604Policies naming 76604
76700Policies naming 76700
76706Policies naming 76706
76770Policies naming 76770
76776Policies naming 76776
76815Policies naming 76815
76857Policies naming 76857
76881Policies naming 76881
76882Policies naming 76882
76942Policies naming 76942
78265Policies naming 78265
78830Policies naming 78830
78835Policies naming 78835
80305Policies naming 80305
80307Policies naming 80307
80320Policies naming 80320
80377Policies naming 80377
81000Policies naming 81000
81003Policies naming 81003
81005Policies naming 81005
82542Policies naming 82542
82570Policies naming 82570
83516Policies naming 83516
83520Policies naming 83520
83789Policies naming 83789
83986Policies naming 83986
83992Policies naming 83992
84156Policies naming 84156
84311Policies naming 84311
95700Policies naming 95700
95950Policies naming 95950
95953Policies naming 95953
95956Policies naming 95956
95957Policies naming 95957
96365Policies naming 96365
96369Policies naming 96369
96372Policies naming 96372
96373Policies naming 96373
96374Policies naming 96374
96379Policies naming 96379
99281Policies naming 99281
99282Policies naming 99282
99283Policies naming 99283
99284Policies naming 99284
99285Policies naming 99285
A4221Policies naming A4221
A4222Policies naming A4222
E0776Policies naming E0776
E0781Policies naming E0781
G0138Policies naming G0138
G0480Policies naming G0480
G0483Policies naming G0483
G0659Policies naming G0659
J1202Policies naming J1202
J2001Policies naming J2001
L8679Policies naming L8679
L8680Policies naming L8680
L8687Policies naming L8687
Q3014Policies naming Q3014
S9339Policies naming S9339
S9349Policies naming S9349
S9355Policies naming S9355
S9810Policies naming S9810

All Freedom Health policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.