January 2024 HCPS Code Update to the Subchapter 6 Orthotics and Prosthetics Manual

The Centers for Medicare & Medicaid Services (CMS) have published the HCPCS codes for January 2024. MassHealth has updated Subchapter 6 of the Orthotic (ORT) and Prosthetic (PRT) Manual to incorporate those January 2024 HCPCS service code updates, as applicable.

Please reference Transmittal Letter ORT-28 and Transmittal Letter PRT-29 at https://www.mass.gov/lists/2024-masshealth-transmittal-letters for more information.

Additionally, Orthotic and Prosthetic providers are advised that the MassHealth Orthotics and Prosthetics Payment and Coverage Guideline Tool has been updated on 4/11/24 and posted on the MassHealth website.

Please refer to our online MassHealth ORT and PRT Payment and Coverage Guideline Tool for HCPCS codes that have been added to the Tool to be effective as of 1/1/24 and for further instructions regarding coverage, limits, and prior authorization requirements.

To confirm that you are using the most recent version of the applicable Tool, go to www.mass.gov/service-details/masshealth-payment-and-coverage-guideline-tools.

If you have questions regarding this change, please contact the LTSS Provider Service Center at support@masshealthltss.com or call (844) 368-5184.