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Kansas Medicaid (KanCare)Medicaid · Billing Codes · Coding · KSHigh impact

KMAP BULLETIN: HCPCS Codes Update – July 2025

Act
by Jul 1, 2025
Effective date
Jul 1, 2025
Identified
Jun 21, 2026

Summary

Kansas Medicaid (KMAP) is adding 31 new covered HCPCS codes and discontinuing 14 existing codes effective July 1, 2025, with one additional code (M0248) discontinued as of December 12, 2024. This affects billing for Kansas Medicaid patients and requires updates to billing systems and coding practices.

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What to do

by Jul 1, 2025 · 3 steps
01Billing team must update billing system to include 31 new covered HCPCS codes (C9174, C9175, J0165, J0166, J0167, J0168, J0169, J0616, J0618, J1163, J1326, J2312, J2313, J3373, J3374, J3375, J3391, J7172, J7356, J9174, J9220, J9275, J9276, J9289, J9341, J9342, J9382, Q2058, Q5098, Q5099, Q5100, Q5153) and remove 14 discontinued codes (0240U, 0241U, C9301, C9302, C9303, C9304, J0171, J0173, J2310, J2311, J3370, J3371, J3372, J9340) for Kansas Medicaid claims.
02Immediately discontinue use of code M0248 as it was discontinued December 12, 2024.
03Monitor KanCare MCO implementation dates as they may vary from state policy dates.

Codes mentioned

C9174C9175J0165J0166J0167J0168J0169J0616J0618J1163J1326J2312J2313J3373J3374J3375J3391J7172J7356J9174J9220J9275J9276J9289J9341J9342J9382Q2058Q5098Q5099Q5100Q5153C9301C9302C9303C9304J0171J0173J2310J2311J3370J3371J3372J9340M0248

Original notice

KMAP BULLETIN: HCPCS Codes Update – July 2025
portal.kmap-state-ks.us · Always check the source before changing claims.
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Related changes

See all Kansas Medicaid (KanCare) changes →
KMAP BULLETIN: HCPCS Codes Update – April 2025HighEffective Apr 1, 2025 · CodingKMAP BULLETIN: HCPCS Codes Updates – October 2025MediumEffective Oct 1, 2025 · CodingKMAP BULLETIN: HCPCS Codes Update – October 2026HighEffective Oct 1, 2026 · CodingKMAP BULLETIN: HCPCS Codes Updates – July 2026HighEffective Jul 1, 2026 · CodingBrowse every Kansas Medicaid (KanCare) change in the policy list

Related policy hubs

Kansas Medicaid (KanCare) policiesKS policy changesCode C9174Code C9175Code J0165Code J0166Code J0167Code J0168Code J0169Code J0616Code J0618Code J1163Code J1326Code J2312Code J2313Code J3373Code J3374Code J3375Code J3391Code J7172Code J7356Code J9174Code J9220Code J9275Code J9276Code J9289Code J9341Code J9342Code J9382Code Q2058Code Q5098Code Q5099Code Q5100Code Q5153Code C9301Code C9302Code C9303Code C9304Code J0171Code J0173Code J2310Code J2311Code J3370Code J3371Code J3372Code J9340Code M0248

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