Commonwealth of Massachusetts MassHealth Provider Manual Series Durable Medical Equipment Manual Subchapter Number and Title Table of Contents Page vi Transmittal Letter DME-32 Date 01/01/12 6. Services Codes Introduction 6-1 Modifiers 6-1 Service Codes 6-1 Appendix A. Directory A-1 Appendix B. Enrollment Centers B-1 Appendix C. ThirdParty-Liability Codes C-1 Appendix U. DPH-Designated Serious Reportable Events That Are Not Provider Preventable Conditions …………………………………………………………………………… U-1 Appendix V. MassHealth Billing Instructions for Provider Preventable Conditions ……………. V-1 Appendix W. EPSDT Services Medical and Dental Protocols and Periodicity Schedules W-1 Appendix X. Family Assistance Copayments and Deductibles X-1 Appendix Y. EVS Codes and Messages Y-1 Appendix Z. EPSDT/PPHSD Screening Services Codes Z-1