Commonwealth of Massachusetts 

MassHealth 

Provider Manual Series 

Subchapter Number and Title 

Table of Contents 

Page 

vi 

Hearing Instrument Specialist Manual 

Transmittal Letter 

HIS-24 

Date 

03/15/09 



 

6. Service Codes and Descriptions 

 

Introduction ................................................................................................................................ 6-1 

Service Codes and Descriptions .................................................................................................. 6-1 

 

Appendix A. Directory .................................................................................................................…. A-1 

 

Appendix B. Enrollment Centers........................................................................................................ B-1 

 

Appendix C. Third-Party-Liability Codes.......................................................................................... C-1 

 

Appendix W. EPSDT Services: Medical Protocol and Periodicity Schedule..................................... W-1 

 

Appendix X. Family Assistance Copayments and Deductibles........................................................... X-1 

 

Appendix Y. REVS Codes/Messages................................................................................................. Y-1 

 

Appendix Z. EPSDT/PPHSD Screening Services Codes.................................................................. Z-1