KMAP BULLETIN: Vision Allowable Places of Service

Date: 09/15/23

Effective with dates of service on or after November 1, 2023, the places of service listed below are acceptable for all vision codes, unless otherwise noted:
    • 05 - Indian Health Service Free-standing Facility
    • 07 - Tribal 638 Free-standing Facility
    • 11 - Office
    • 15 - Mobile Unit (only covered for codes in range 92002 - 92499)
    • 17 - Walk-in health clinic
    • 19 - Off Campus-Outpatient Hospital (Only covered for 92021, 92082, and 92083)
    • 21 - Inpatient Hospital - billed by the hospital under a revenue code (only exam codes)
    • 22 - On Campus-Outpatient Hospital (Only covered for 92081, 92082, and 92083)
    • 23 - Emergency Room Hospital (Only covered for 92081, 92082, and 92083)
    • 49 - Independent Clinic
    • 50 - Federally Qualified Health Center (Only 92002, 92004, 92012, and 92014 are covered)
    • 71 - Public Health Clinic (Only 92002, 92012, and 92081 are covered)
    • 72 - Rural Health Clinic (Only 92002, 92004, 92012, and 92014 are covered)

**PROFESSIONAL SERVICES - EYE EXAMINATIONS:**
92002	92004	92012	92014	92015	92020	92025	92081
92082	92083	92100	92132	92133	92134	92250	92285

**CONTACT LENS – ADAPTATION:**
92071	92072	92310	92311	92312	92313	92314	92315
92316	92317	92325	92326	S0500	V2500	V2501	V2502
V2503	V2510	V2511	V2512	V2513	V2520	V2521	V2522
V2523	V2530	V2531

**LENSES, FRAMES, AND MATERIALS:**
92370	S0580	V2020	V2100	V2101	V2102	V2103	V2104
V2105	V2106	V2107	V2108	V2109	V2110	V2111	V2112
V2113	V2114	V2115	V2118	V2121	V2199	V2200	V2201
V2202	V2203	V2204	V2205	V2206	V2207	V2208	V2209
V2210	V2211	V2212	V2213	V2214	V2215	V2218	V2219
V2220	V2221	V2299	V2300	V2301	V2302	V2303	V2304
V2305	V2306	V2307	V2308	V2309	V2310	V2311	V2312
V2313	V2314	V2315	V2318	V2319	V2320	V2321	V2399
V2410	V2430	V2499	V2710	V2715	V2760	V2782	V2383
V2784	V2799

**ARTIFICIAL EYES: (Includes both Professional and Material Charges):**
V2623	V2624	V2625	V2626	V2627	V2628

Note: The effective date of the policy is November 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.