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KMAP BULLETIN: HCPCS Codes Updates – October 2025

Kansas Medicaid (KanCare)·KS·Coding
Effective date
Oct 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid (KMAP) is adding 30 new HCPCS codes for coverage and discontinuing 7 existing codes effective October 1, 2025. This affects billing for medical devices, injectable drugs, and other supplies covered under Kansas Medicaid programs.

Action Required

Action needed
By October 1, 2025: Billing team must update billing system to include the 30 new covered HCPCS codes (A4288, C9305, C9306, J0163, J0164, J0458, J0525, J0570, J0582, J0614, J0675, J0738, J0752, J1809, J1834, J2151, J2291, J3290, J3402, J3403, J7173, J7174, J9011, L1007, L5657, L6035, L6036, L6038, Q5156, Q5157, Q5158) and remove the 7 discontinued codes (C9088, C9174, C9175, C9248, J2150, J2503, S0074) from Kansas Medicaid billing. Monitor the KanCare Open Claims Resolution Log for MCO-specific implementation dates as timing may vary by managed care organization.

Affected Billing Codes

A4288
C9305
C9306
J0163
J0164
J0458
J0525
J0570
J0582
J0614
J0675
J0738
J0752
J1809
J1834
J2151
J2291
J3290
J3402
J3403
J7173
J7174
J9011
L1007
L5657
L6035
L6036
L6038
Q5156
Q5157
Q5158
C9088
C9174
C9175
C9248
J2150
J2503
S0074
KMAP BULLETIN: HCPCS Codes Updates – October 2025 | Kansas Medicaid (KanCare) | PolicyChanges.app