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.
8 policies name 15152, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| CG-SURG-127 Products for Wound Healing and Soft Tissue Grafting: Medically Necessary Uses | CG-SURG-127 · Commercial | 77 | Original policy ↗ |
| SURG.00011 Products for Wound Healing and Soft Tissue Grafting: Investigational | SURG.00011 · Commercial | 377 | Original policy ↗ |
| SHBP Medical Policies & Clinical Guidelines Precertification Code List | Effective Jan 1, 2022 · Commercial · GA | 2,220 | Original policy ↗ |
| SHBP Prior Authorization Requirements | Commercial · GA | 2,569 | Original policy ↗ |
| ASC Grouper Listing | Commercial · CO | 3,389 | Original policy ↗ |
| ASC Grouper Listing | Commercial · CO | 3,389 | Original policy ↗ |
| ASC Grouper Listing | Commercial · NV | 3,389 | Original policy ↗ |
| California PPO Prior Authorization List | Commercial · CA | 3,545 | Original policy ↗ |