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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.

161 policies name S2900, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Freedom Health policies
PolicyDetailsCodesSource
Not Otherwise Classified (NOC) Non-DrugCRHPAP - 003 · Effective Feb 7, 2019 · Commercial · IN, KY, MO, OH, WI1Original policy ↗
INDIANA PROVIDER MANUALCommercial · IN2Original policy ↗
MISSOURI PROVIDER MANUALCommercial · MO2Original policy ↗
OHIO PROVIDER MANUALCommercial · OH2Original policy ↗
Technology Assisted Surgical ProceduresG-10004 · Effective Sep 1, 2023 · Medicaid · OH3Original policy ↗
Technology Assisted Surgical ProceduresG-10004 · Effective Sep 1, 2023 · Medicaid · IN3Original policy ↗
Technology Assisted Surgical ProceduresG-10004 · Effective Sep 1, 2023 · Medicaid · NV3Original policy ↗
Technology Assisted Surgical Procedures - Professional and FacilityC-21008 · Effective Aug 1, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI4Original policy ↗
Technology Assisted Surgical Procedures - Professional and FacilityC-21008 · Effective Dec 1, 2023 · Commercial · VA4Original policy ↗
Technology Assisted Surgical Procedures - Professional and FacilityC-21008 · Effective Jan 1, 2026 · Commercial · CA4Original policy ↗
KENTUCKY PROVIDER MANUALEffective Jul 1, 2017 · Commercial · KY10Original policy ↗
KENTUCKY PROVIDER MANUALEffective Jul 1, 2018 · Commercial · KY10Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Apr 1, 2016 · Commercial · VA18Original policy ↗
VIRGINIA FACILITY PROVIDER MANUALEffective Aug 1, 2015 · Commercial · VA18Original policy ↗
Anthem Blue Cross and Blue Shield Missouri Provider Manual08022023 v2 · Effective Aug 1, 2023 · Commercial · MO23Original policy ↗
Anthem Blue Cross and Blue Shield Missouri Provider ManualCommercial · MO23Original policy ↗
Anthem Blue Cross and Blue Shield Missouri Provider ManualEffective Jul 1, 2022 · Commercial · MO23Original policy ↗
MISSOURI PROVIDER MANUALCommercial · MO23Original policy ↗
MISSOURI PROVIDER MANUALCommercial · MO23Original policy ↗
2026 Connecticut Commercial Provider ManualCT-BCBS-CM-PM-009910-26-S2924 · Effective Sep 1, 2026 · Commercial · CT24Original policy ↗
2026 Indiana Commercial Provider ManualIN-BCBS-CM-PM-010401-26-S3026 · Effective Aug 1, 2026 · Commercial · IN24Original policy ↗
2026 Maine Commercial Provider ManualME-BCBS-CM-PM-008212-26-S2534 · Effective Oct 1, 2026 · Commercial · ME24Original policy ↗
2026 Ohio Commercial Provider ManualOH-BCBS-CM-PM-008215-26-S2537 · Effective Aug 1, 2026 · Commercial · OH24Original policy ↗
2026 Wisconsin Commercial Provider ManualWI-BCBS-CM-PM-008216-26-S2544 · Effective Aug 1, 2026 · Commercial · WI24Original policy ↗
Anthem Blue Cross and Blue Shield Connecticut Provider ManualEffective Jul 1, 2023 · Commercial · CT24Original policy ↗
Anthem Blue Cross and Blue Shield Connecticut Provider ManualCTBCBS-CM-PM-055483-24 v2.080124 · Effective Aug 1, 2024 · Commercial · CT24Original policy ↗
Anthem Blue Cross and Blue Shield Indiana Provider ManualINBCBS-CM-PM-056381-24 v2.080124 · Effective Aug 1, 2024 · Commercial · IN24Original policy ↗
Anthem Blue Cross and Blue Shield Indiana Provider ManualEffective Jul 1, 2022 · Commercial · IN24Original policy ↗
Anthem Blue Cross and Blue Shield Indiana Provider ManualEffective Jul 1, 2023 · Commercial · IN24Original policy ↗
Anthem Blue Cross and Blue Shield Indiana Provider ManualINBCBS-CM-PM-056381-24 v1.050124 · Effective Jul 1, 2024 · Commercial · IN24Original policy ↗
Anthem Blue Cross and Blue Shield Indiana Provider ManualCommercial · IN24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Jul 1, 2021 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualMEBCBS-CM-PM-056376-24 v1.050224 · Effective Jul 1, 2024 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualMEBCBS-CM-PM-056376-24 v2.080124 · Effective Nov 1, 2024 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Jul 1, 2023 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualMEBCBS-CM-PM-056376-24 v3 11012024 · Effective Jan 1, 2025 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Jul 1, 2022 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Apr 4, 2022 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Missouri Provider ManualMOBCBS-CM-PM-061910-24 v2a 11152025 · Effective Nov 1, 2024 · Commercial · MO24Original policy ↗
Anthem Blue Cross and Blue Shield Ohio Provider ManualEffective Jul 1, 2023 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Ohio Provider ManualOHBCBS-CM-PM-055484-24 v1.050124 · Effective Aug 1, 2024 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Ohio Provider ManualOHBCBS-CM-PM-055484-24 v2.080124 · Effective Nov 1, 2024 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Ohio Provider ManualEffective Jul 1, 2022 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Ohio Provider ManualEffective Oct 1, 2021 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Ohio Provider ManualEffective Jul 1, 2021 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Provider ManualCTBCBS-CM-PM-082433-25 · Effective Jan 1, 2026 · Commercial · CT24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - 07/01/19 - 09/30/19Effective Jul 1, 2019 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MaineEffective Oct 1, 2019 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jan 1, 2021 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jul 1, 2020 · Commercial · ME24Original 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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