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.
10 policies name L8688, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| CG-SURG-70 Gastric Electrical Stimulation | CG-SURG-70 · Commercial | 16 | Original policy ↗ |
| SURG.00158 Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain | SURG.00158 · Commercial | 16 | Original policy ↗ |
| Deep Brain Stimulation and Responsive Neurostimulation | SURG.00026 · Commercial | 22 | Original policy ↗ |
| SHBP Prior Authorization Code List | Commercial · GA | 1,299 | 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 ↗ |
| Standard Local Prior Authorization Code List | Commercial · GA | 3,068 | Original policy ↗ |
| Colorado Prior Authorization List | Commercial · CO | 3,281 | Original policy ↗ |
| Prior Authorization List | Commercial · NV | 3,304 | Original policy ↗ |
| California PPO Prior Authorization List | Commercial · CA | 3,545 | Original policy ↗ |