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MedicaidCoverageMedium impact

KMAP BULLETIN: Diagnosis Restrictions Do Not Apply to DME Repair Code K0739

Kansas Medicaid (KanCare)·KS·Coding
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid has removed diagnosis restrictions for DME repair code K0739 (device monitoring and maintenance), effective retroactively to July 1, 2024. This code can now be billed without specific diagnosis requirements for covered services.

Action Required

Action needed
Immediately: Billing team must update system settings to remove diagnosis restrictions for HCPCS code K0739 for Kansas Medicaid patients. Review and resubmit any previously denied K0739 claims from July 1, 2024 forward. Monitor KanCare MCO implementation status on KMAP Bulletins page for reprocessing completion dates.

Affected Billing Codes

K0739