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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.

37 policies name 99397, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Freedom Health policies
PolicyDetailsCodesSource
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 ↗
Screening Services with Related Evaluation and Management ServicesC-12002 · Commercial · VA8Original policy ↗
Screening Services with Related Evaluation and Management Services – ProfessionalC-12002 · Effective Jan 1, 2026 · Commercial · CA8Original policy ↗
Facility and Professional Provider Manual (For Commercial Products)Commercial · GA10Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Commercial · GA11Original policy ↗
Georgia Facility and Professional Provider ManualEffective Oct 1, 2022 · Commercial · GA27Original policy ↗
Georgia Facility and Professional Provider ManualGABCBS-CM-PM-063065-24 · Effective Jan 1, 2025 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualGABCBS-CM-PM-091749-25 · Effective Jan 1, 2026 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Oct 1, 2023 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Nov 1, 2023 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Jan 1, 2024 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Aug 1, 2021 · Commercial · GA30Original 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 ↗
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 ↗
Allowed Virtual Services in Addition to CPT Appendix PMULTI-BCBS-CM-050974-24 · Effective Feb 17, 2024 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH, WI96Original 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 ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Dec 1, 2025 · Commercial · VA341Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jul 1, 2026 · Commercial · CA341Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jan 1, 2027 · Commercial · CA360Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jun 24, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI390Original 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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