KMAP BULLETIN: MediKan Covered Codes
Date: 12/15/21
KMAP GENERAL BULLETIN 21228 (PDF)
Effective with dates of service on and after January 1, 2022, the following codes will be covered for MediKan members:
- 01958
- 0567T
- 0568T
- 11970
- 11971
- 19294
- 19316
- 19340
- 19342
- 19350
- 19357
- 19361
- 19364
- 19367
- 19368
- 19369
- 19499
- 22526
- 22527
- 32851
- 32852
- 32853
- 32854
- 33726
- 33917
- 33935
- 36838
- 37182
- 37183
- 37191
- 37192
- 37193
- 37765
- 37766
- 40845
- 41820
- 43237
- 43238
- 48554
- 48999
- 53500
- 57425
- 59412
- 61885
- 61888
- 62350
- 62351
- 62355
- 62362
- 62365
- 62368
- 62369
- 62370
- 64568
- 64569
- 64570
- 64585
- 64590
- 64595
- 67912
- 69710
- 69711
- 69714
- 69717
- 69930
- 69990
- 72285
- 76936
- 76945
- 76977
- 77046
- 77047
- 77048
- 77049
- 77081
- 78601
- 78730
- 78801
- 84235
- 90378
- 90963
- 90964
- 90968
- 92100
- 92551
- 92584
- 92601
- 92602
- 92603
- 92604
- 92640
- 93268
- 93270
- 93271
- 93272
- 93798
- 95970
- 95971
- 95976
- 95977
- 95983
- 95984
- 96574
- 97129
- 97130
- 97164
- 97168
- 97533
- 97537
- 97605
- 97606
- 97607
- 97608
- 97610
- 97802
- 97803
- 99183
- 99188
- 99318
- 99408
- 99409
- A0420
- A0426
- A0428
- A4218
- A4225
- A4230
- A4231
- A4232
- A4608
- A4611
- A4612
- A4613
- A4615
- A4616
- A4617
- A4619
- A4620
- A4623
- A4624
- A4627
- A4649
- A4927
- A6238
- A6255
- A6256
- A6257
- A6258
- A6259
- A6266
- A6441
- A6460
- A6461
- A6550
- A7000
- A7001
- A7004
- A7007
- A7008
- A7013
- A7014
- A7017
- A9279
- B9998
- E0471
- E0472
- E0607
- E0780
- E0781
- E0784
- E0787
- E1352
- E1353
- E1354
- E1355
- E1356
- E1357
- E1391
- E1392
- E1699
- G0314
- G2076
- G2077
- G2080
- K0606
- K0740
- L8501
- L8614
- L8615
- L8616
- L8617
- L8618
- L8619
- L8621
- L8622
- L8623
- L8624
- L8625
- L8627
- L8628
- L8629
- L8690
- L8691
- L8692
- L8694
- P9010
- P9012
- P9016
- P9017
- P9019
- P9021
- P9022
- P9023
- P9031
- P9032
- P9033
- P9034
- P9035
- P9036
- P9037
- P9038
- P9039
- P9040
- P9041
- P9043
- P9044
- P9045
- P9046
- P9047
- P9048
- P9051
- P9052
- P9053
- P9054
- P9055
- P9056
- P9057
- P9058
- P9060
- P9070
- P9071
- Q0480
- Q0507
- Q0508
- Q0509
- S0199
- S5181
- S8096
- S8185
- S8186
For up-to-date coverage information, please visit the KMAP HCPCS Code Search here.