MedicaidBilling CodesHigh impact
KMAP BULLETIN: Clarification of Allergy Immunotherapy Billing
Kansas Medicaid (KanCare)·KS · Allergy & Immunology·Claims & Billing
Effective date
Feb 1, 2024
We identified it
Jun 21, 2026
Summary
Effective February 1, 2024, Kansas Medicaid (KMAP) restricts allergy immunotherapy billing codes to professional providers only - hospitals can no longer bill these codes. This affects 8 specific CPT codes for injections, antigens, and supervision of preparation.
Action Required
Immediately: Verify billing system settings to ensure allergy immunotherapy codes 95115, 95117, 95144-95149, 95165, and 95170 are only billed under professional provider NPIs, not hospital/facility NPIs for Kansas Medicaid patients. Update encounter forms and notify providers that these codes cannot be billed by hospitals. Monitor KanCare MCO implementation dates as they may vary from February 1st effective date.