Commonwealth of Massachusetts
MassHealth
Provider Manual Series
Subchapter Number and Title
Table of Contents
Page
vi
Physician Manual
Transmittal Letter
PHY-136
Date
07/01/12

6. Service Codes 

Introduction			6-1
Nonpayable CPT Codes		6-1
Codes That Have Special Requirements or Limitations		6-4
Payable HCPCS Level II Service Codes		6-11
Modifiers		6-19

Appendix A.	Directory 		A-1
Appendix B.	Enrollment Centers 		B-1
Appendix C.	Third-Party-Liability Codes 		C-1
Appendix D.	(Reserved)
Appendix E.	Admission Guidelines		E-1
Appendix F.	(Reserved)
Appendix G.	(Reserved) 
Appendix H.	(Reserved)
Appendix I.  	Utilization Management Program		I-1
Appendix J.		(Reserved)
Appendix K.	Teaching Physicians 		K-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/Messages 		Y-1
Appendix Z.	EPSDT/PPHSD Screening Services Codes		Z-1