MedicaidReimbursementMedium impact
KMAP BULLETIN: Rate Increase for G0330 for Outpatient (PT/PS 01/010)
Kansas Medicaid (KanCare)·KS · Anesthesiology, General Surgery·Claims & Billing
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid is increasing the reimbursement rate for procedure code G0330 (outpatient procedures requiring monitored anesthesia) from the current rate to $2,500.00 for specific provider types (PT/PS 01/010). This rate increase takes effect July 1, 2025, with coverage criteria and operating room requirements remaining unchanged.
Action Required
Before July 1, 2025: Billing team must update fee schedules in billing system to reflect the new $2,500.00 rate for HCPCS code G0330 for Kansas Medicaid patients under provider type/specialty 01/010. Monitor the KMAP website and KanCare Open Claims Resolution Log for any MCO-specific implementation dates that may differ from the state effective date.