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KMAP BULLETIN: Coverage Related to Weight Loss

Date: 12/20/22

KMAP GENERAL BULLETIN 22397 (PDF)

Effective January 1, 2023, the following codes for endoscopic procedures related to weight loss will be covered. Members must meet the established criteria for bariatric surgery, as documented in the original policy:

  • 43290
  • 43291

Note: The effective date of the policy is January 1, 2023. The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented.