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KMAP BULLETIN: Partial Hand Prosthesis Coverage Update – L6028
Effective date
Apr 1, 2026
Identified
Jul 10, 2026
Summary
Kansas Medicaid (KMAP) is replacing discontinued prosthetic codes L6000, L6010, and L6020 with new code L6028 (partial hand prosthesis) effective April 1, 2026, with reimbursement set at $1,793.28 (80% of Medicare rate). Billing teams must transition all partial hand prosthesis claims to L6028 and verify MCO implementation timelines, as KanCare MCOs may implement on different dates.
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What to do
Action · 6 steps
01Before April 1, 2026: Billing team must update billing software to discontinue use of codes L6000, L6010, and L6020 and transition all partial hand prosthesis claims to L6028.
02Update fee schedules to reflect the new reimbursement rate of $1,793.28 for provider types 25/277.
03Check the KanCare Open Claims Resolution Log on the KMAP Bulletins page to verify each MCO's implementation date, as implementation may vary from April 1, 2026.
04Update claim submission templates and provider communication materials.
05Verify DME Fee-for-Service Provider Manual updates on pages 8-62 and AI-11.
06Claims submitted with discontinued codes L6000, L6010, or L6020 after April 1, 2026 will be denied or require reprocessing.
Codes mentioned
L6028L6000L6010L6020
Original notice
KMAP BULLETIN: Partial Hand Prosthesis Coverage Update – L6028
portal.kmap-state-ks.us · Always check the source before changing claims.