MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage of Code 97760
Kansas Medicaid (KanCare)·KS · Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Coding
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid has reinstated coverage for procedure code 97760, effective retroactively to January 1, 2025. The code was inadvertently removed but is now reimbursable at $23.83, with impacted claims being automatically reprocessed.
Action Required
No immediate action required from providers. Kansas Medicaid will automatically reprocess any impacted claims for code 97760 submitted since January 1, 2025. Billing team should monitor reprocessed claims and verify correct reimbursement of $23.83 is received.