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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.

26 policies name 99211, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Freedom Health policies
PolicyDetailsCodesSource
Modifiers 25 and 57: Evaluation and Management with Global ProceduresG-06003 · Effective May 22, 2024 · Medicaid · OH1Original policy ↗
Modifiers 25 and 57: Evaluation and Management with Global ProceduresG-06003 · Effective May 22, 2024 · Medicaid · NV1Original policy ↗
Modifiers PN and PO: Off-Campus Provider-Based Hospital OutpatientG-26002 · Effective Jan 1, 2027 · Medicaid · NV5Original policy ↗
Modifier 25 and 57: Evaluation and Management with Global ProceduresC-09011 · Effective Jan 1, 2026 · Commercial · CA8Original policy ↗
Modifiers 25 and 57: Evaluation and Management Services with Global Procedures - ProfessionalC- 09011 · Effective Mar 1, 2025 · Commercial · VA8Original policy ↗
Modifiers 25 and 57: Evaluation and Management with Global ProceduresC-09011 · Effective Nov 23, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI8Original policy ↗
Modifier Usage – ProfessionalC-08010 · Effective Mar 1, 2025 · Commercial · VA12Original policy ↗
Modifier Usage – ProfessionalC-08010 · Effective Jun 3, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI12Original policy ↗
Laboratory and Venipuncture Services - Professional and FacilityC-21010 · Effective Mar 1, 2025 · Commercial · VA24Original policy ↗
Laboratory and Venipuncture Services - Professional and FacilityC-21010 · Effective Apr 1, 2026 · Commercial · CA24Original policy ↗
Laboratory and Venipuncture Services – Professional and FacilityC-21010 · Effective Aug 6, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI32Original policy ↗
Preventive Medicine Services with Screening and other Evaluation and Management Services – ProfessionalC-12002 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI54Original policy ↗
Preventive Medicine Services with Screening and other Evaluation and Management Services – ProfessionalC-12002 · Effective Jan 1, 2027 · Commercial · CA54Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI187Original policy ↗
Colorado • Commercial HEDIS measurement year 2023–2024Commercial · CO451Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · CA451Original policy ↗
HEDIS measurement year 2023–2024Commercial · CT451Original policy ↗
HEDIS measurement year 2023–2024Commercial · GA451Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · IN451Original policy ↗
HEDIS measurement year 2023–2024Commercial · ME451Original policy ↗
HEDIS measurement year 2023–2024Commercial · MO451Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · NV451Original policy ↗
HEDIS measurement year 2023–2024Commercial · NH451Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · VA451Original policy ↗
HEDIS measurement year 2023–2024Commercial, Medicaid · WI451Original policy ↗
HEDIS Measurement Year (MY) 2020 Physician documentation guidelines and administrative codesOH567Original 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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