MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage for 92622 and 92623 When Billed with an AB Modifier
Kansas Medicaid (KanCare)·KS · Audiology·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid will now cover audiology procedure codes 92622 and 92623 for ages 0-20 when billed with AB modifier by audiologists for non-acute hearing conditions and diagnostic services related to implanted auditory devices. Coverage is limited to once per member per 12-month period and excludes services related to disequilibrium or hearing aids.
Action Required
Before April 1, 2025: Billing team must update system to allow codes 92622 and 92623 with AB modifier for Kansas Medicaid patients ages 0-20 when billed by audiologists (PT/PS 20/200). Ensure documentation specifies non-acute hearing conditions or diagnostic services for implanted auditory devices. Set frequency limits to once per member per 12-month period. Claims for disequilibrium or hearing aid-related services will be denied.