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.
7 policies name 0054T, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Technology Assisted Surgical Procedures | G-10004 · Effective Sep 1, 2023 · Medicaid · OH | 3 | Original policy ↗ |
| Technology Assisted Surgical Procedures | G-10004 · Effective Sep 1, 2023 · Medicaid · IN | 3 | Original policy ↗ |
| Technology Assisted Surgical Procedures | G-10004 · Effective Sep 1, 2023 · Medicaid · NV | 3 | Original policy ↗ |
| Technology Assisted Surgical Procedures - Professional and Facility | C-21008 · Effective Aug 1, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 4 | Original policy ↗ |
| Technology Assisted Surgical Procedures - Professional and Facility | C-21008 · Effective Dec 1, 2023 · Commercial · VA | 4 | Original policy ↗ |
| Technology Assisted Surgical Procedures - Professional and Facility | C-21008 · Effective Jan 1, 2026 · Commercial · CA | 4 | Original policy ↗ |
| SHBP Medical Policies & Clinical Guidelines Precertification Code List | Effective Jan 1, 2022 · Commercial · GA | 2,220 | Original policy ↗ |