Commonwealth of Massachusetts
Executive Office of Health and Human Services
Office of Medicaid
www.mass.gov/masshealth

                                                 MassHealth
                                                 Transmittal Letter POD-66
                                                 February 2012



	TO:	Podiatrists Participating in MassHealth

FROM:	Dr. Julian Harris, M.D., Medicaid Director 

	RE:	Podiatrist Manual (2012 HCPCS)

This letter transmits revisions to the service codes in the Podiatrist Manual. The Centers for 
Medicare & Medicaid Services (CMS) has revised the Healthcare Common Procedure Coding 
System (HCPCS) for 2012. The revised Subchapter 6 is effective for dates of service on or after 
January 1, 2012. 

Providers should refer to www.cms.hhs.gov for code descriptions.

Subchapter 6 of the Podiatrist Manual lists CPT and Level II codes that are payable by 
MassHealth for this provider type and also lists any special limitations or requirements, such as 
prior authorization (PA) or individual consideration (IC), that are applicable to those codes.

A podiatrist may request prior approval for any medically necessary service reimbursable under 
the federal Medicaid Act in accordance with 130 CMR 450.144, 42 U.S.C. 1396d(a), and 42 
U.S.C. 1396d(r)(5) for a MassHealth Standard or CommonHealth member younger than 21 
years of age even if it is not designated as covered or payable in Subchapter 6 of the Podiatrist 
Manual.

Division of Health Care Finance and Policy (DHCFP) regulations establish the fee schedule for 
covered services in the Podiatrist Manual. You may download DHCFP regulations at no cost at 
www.mass.gov/dhcfp or purchase a paper copy from either the Massachusetts State Bookstore 
or from the Division of Health Care Finance and Policy (see addresses and telephone numbers 
below). You must contact them first to find out the price of the paper copy of the publication. The 
specific regulation titles are, 114.3 CMR 17.00: Medicine, 114.3 CMR 16.00: Surgery and 
Anesthesia Services, 114.3 CMR 18.00: Radiology, 114.3 CMR 20.00: Clinical Laboratory 
Services, and 114.3 CMR 34.00: Prostheses, Prosthetic Devices, and Orthotic Devices. 



	Massachusetts State Bookstore
	State House, Room 116
	Boston, MA  02133
	Telephone:  617-727-2834
www.mass.gov/sec/spr


Division of Health Care Finance and Policy
Two Boylston Street
Boston, MA  02116
Telephone:  617-988-3100
www.mass.gov/dhcfp






MassHealth Web Site

This transmittal letter and attached pages are available on the MassHealth Web site at 
www.mass.gov/masshealth.

Questions

If you have any questions about this transmittal letter, please contact MassHealth Customer 
Service at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your 
inquiry to 617-988-8974.

NEW MATERIAL
(The pages listed here contain new or revised language.)

Podiatrist Manual

Pages vi and 6-1 through 6-6

OBSOLETE MATERIAL
(The pages listed here are no longer in effect.)

Podiatrist Manual

Page vi — transmitted by Transmittal Letter POD-65

Pages 6-1 through 6-6 — transmitted by Transmittal Letter POD-64
	MassHealth
	Transmittal Letter POD-64
	September 2010
	Page 

	MassHealth
	Transmittal Letter POD-66
	February 2012
	Page 2