Commonwealth of Massachusetts MassHealth Provider Manual Series Podiatrist Manual Subchapter Number and Title Table of Contents Page vi Transmittal Letter POD-67 Date 07/01/12 6. Service Codes and Descriptions Introduction 6-1 Payable CPT Codes 6-1 Payable HCPCS Level II Service Codes for Injectable Drugs Administered in the Office 6-3 Payable HCPCS Level II Service Codes for Diabetic Shoes and Orthotic Services 6-4 Modifiers 6-5 Appendix A. Directory A-1 Appendix B. Enrollment Centers B-1 Appendix C. Third-Party-Liability Codes C-1 Appendix D. (Reserved) Appendix E. Utilization Management Program E-1 Appendix F. Admission Guidelines F-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