MedicaidBilling CodesMedium impact
KMAP BULLETIN: Revision NCCI/PTP OPH/PRA Editing – October 2025
Kansas Medicaid (KanCare)·KS · Family Medicine, Internal Medicine, Pediatrics +1 more·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
A specific NCCI edit that was incorrectly blocking billing of vaccines (CPT 90480) with certain administration codes (G0008, G0009, G0010) has been withdrawn by CMS. Claims denied since July 1, 2025 for this edit combination will be automatically reprocessed by Kansas Medicaid.
Action Required
No immediate action required: Kansas Medicaid will automatically reprocess claims for CPT 90480 with G0008, G0009, or G0010 that were denied since July 1, 2025. Monitor reprocessed claims for payment and follow up on any that remain unpaid after automatic reprocessing.