MedicaidReimbursementMedium impact
KMAP BULLETIN: Discontinue Applying Modifier TC to Base Code Billed by Hospitals
Kansas Medicaid (KanCare)·KS · Radiology·Coding
Effective date
Aug 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) changed how radiology services are reimbursed for hospital outpatient providers. Starting August 1, 2024, base radiology codes (70000-79999) will no longer automatically receive the technical component (TC) modifier and will be reimbursed at base rates instead of TC rates.
Action Required
Immediately: Hospital billing teams must update radiology billing procedures for Kansas Medicaid claims. Bill base codes (70000-79999) without TC modifier for base rate reimbursement, or specifically add TC modifier only when technical component rate is intended. Review and update billing software rules to prevent automatic TC modifier application. Monitor KanCare MCO implementation dates as they may vary from state effective date.