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Freedom Health policies

Search Freedom Health's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

53 policies name 00001, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Freedom Health policies
PolicyDetailsCodesSource
CG-LAB-33 Carcinoembryonic Antigen TestingCG-LAB-33 · Commercial2Original policy ↗
CG-MED-73 Hyperbaric Oxygen Therapy (Systemic/Topical)CG-MED-73 · Commercial4Original policy ↗
CG-SURG-77 Refractive SurgeryCG-SURG-77 · Commercial29Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Commercial · GA45Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Effective Jan 1, 2021 · Commercial · GA45Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Commercial · GA46Original policy ↗
2025 Anthem Blue Cross PPO Provider Manual v1CABC-CM-PM-091236-25 · Effective Jan 1, 2026 · Commercial · CA47Original policy ↗
2025 Anthem Blue Cross PPO Provider Manual v2CABC-CM-PM-091236-25 · Effective Jun 1, 2026 · Commercial, Medicaid · CA47Original policy ↗
California Facility and Professional Provider ManualCABC-CM-PM-066114-24 · Effective Jan 1, 2025 · Commercial, Medicaid · CA47Original policy ↗
Anthem Blue Cross HMO Provider Manual - 03/15/20 - 10/14/20Effective Mar 15, 2020 · Commercial · CA49Original policy ↗
Anthem Blue Cross California Facility and Professional Provider ManualEffective Dec 15, 2021 · Commercial, Medicaid · CA54Original policy ↗
California Facility and Professional Provider ManualEffective Aug 1, 2023 · Commercial, Medicaid · CA55Original policy ↗
California Facility and Professional Provider ManualEffective Aug 1, 2022 · Commercial, Medicaid · CA55Original policy ↗
Clinical UM Guidelines adopted by Anthem Blue Cross and Blue Shield in CTCommercial · CT65Original policy ↗
Clinical UM Guidelines adopted by Anthem Blue Cross and Blue Shield in MaineME-BCBS-CM-019295-26-S5049 · Commercial · ME66Original policy ↗
Clinical UM Guidelines adopted by Anthem Blue Cross and Blue Shield in NHNH-BCBS-CM-019298-26-S5051 · Commercial · NH66Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Oct 1, 2021 · Commercial · NV69Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Jul 1, 2021 · Commercial · NV69Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Jul 1, 2021 · Commercial · CO70Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Oct 1, 2021 · Commercial · CO70Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Nov 1, 2022 · Commercial · NV70Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Dec 1, 2022 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility ManualEffective Mar 1, 2024 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Colorado Provider and Facility Manualv2.080124 · Effective Nov 1, 2024 · Commercial · CO71Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualEffective Dec 1, 2023 · Commercial · NV71Original policy ↗
Anthem Blue Cross and Blue Shield Nevada Provider and Facility ManualNVBCBS-CM-PM-068896-24 · Effective Jan 1, 2025 · Commercial · NV80Original policy ↗
Nevada Provider and Facility ManualNVBCBS-CM-PM-091235-25 · Effective Jan 1, 2026 · Commercial · NV80Original policy ↗
Nevada Provider and Facility ManualNVBCBS-CM-PM-091235-25 · Effective Oct 1, 2026 · Commercial · NV80Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Nov 1, 2020 · Commercial · CO81Original policy ↗
Colorado Provider and Facility ManualCOBCBS-CM-PM-091234-25 · Effective Jan 1, 2026 · Commercial · CO81Original policy ↗
Colorado Provider and Facility ManualCOBCBS-CM-PM-068897-24 · Effective Jan 1, 2025 · Commercial · CO81Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Nov 1, 2020 · Commercial · NV83Original policy ↗
Anthem Blue Cross and Blue Shield New Hampshire Provider ManualEffective Jan 26, 2023 · Commercial · NH88Original policy ↗
Anthem Blue Cross and Blue Shield New Hampshire Provider ManualNHBCBS-CM-PM-056380-24 · Effective Jan 1, 2025 · Commercial · NH91Original policy ↗
Anthem Blue Cross and Blue Shield New Hampshire Provider ManualEffective Jul 1, 2023 · Commercial · NH91Original policy ↗
Anthem Blue Cross and Blue Shield New Hampshire Provider ManualNHBCBS-CM-056434-24 v1.050124 · Effective Jul 1, 2024 · Commercial · NH91Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-056380-24 v2.080124 · Effective Aug 1, 2024 · Commercial · NH91Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Feb 1, 2019 · Commercial · CO97Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Feb 1, 2019 · Commercial · NV99Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Jul 1, 2017 · Commercial · CO104Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Jul 1, 2017 · Commercial · NV104Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-082435-25 · Effective Jul 1, 2025 · Commercial · NH110Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-082435-25 · Effective Jan 1, 2026 · Commercial · NH110Original policy ↗
New Hampshire Provider ManualNHBCBS-CM-PM-082435-25 · Effective Sep 1, 2025 · Commercial · NH110Original policy ↗
2026 New Hampshire Commercial Provider ManualNH-BCBS-CM-PM-008213-26-S2536 · Effective Jul 1, 2026 · Commercial · NH111Original policy ↗
Virginia Professional Provider ManualEffective Sep 24, 2020 · Commercial · VA113Original policy ↗
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Aug 1, 2016 · Commercial · CO116Original policy ↗
Virginia Professional Provider ManualVABCBS-CM-PM-086207-25 · Effective Dec 1, 2025 · Commercial · VA139Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Professional Provider ManualEffective Oct 1, 2021 · Commercial · VA140Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Professional Provider ManualEffective Mar 1, 2023 · Commercial · VA141Original policy ↗

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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.

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