MedicaidBilling CodesMedium impact
KMAP BULLETIN: UPDATED Annual DMEPOS Preventive Maintenance
Kansas Medicaid (KanCare)·KS · PM&R (Physical Medicine & Rehab), Orthopedics, General Practice·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
Jun 21, 2026
Summary
Starting October 1, 2025, Kansas Medicaid (KMAP) will reimburse up to $76.04 annually for preventive maintenance on DMEPOS equipment no longer under warranty. Providers must use code K0739 with modifier U1, limited to 4 units per calendar year at $19.01 per unit.
Action Required
Before October 1, 2025: Billing team must update system to include HCPCS code K0739 with modifier U1 for DMEPOS preventive maintenance at $19.01 per unit (maximum 4 units annually). Update billing rules to prevent same-day billing with routine repair codes. Train staff that no prior authorization is required for preventive maintenance but warranty status must be verified before billing.