MedicaidBilling CodesMedium impact
Pharmacy Codes Open for Billing
Nevada Medicaid·NV · Nephrology, Oncology, Pain Management +4 more·Pharmacy
Effective date
Jun 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has opened 23 new pharmacy-related HCPCS codes for billing on physician-administered drug (PAD) claims, effective June 1, 2026. All claims using these codes must include a National Drug Code (NDC) and no automatic reprocessing will occur.
Action Required
By June 1, 2026: Billing team must update billing system to include the 23 new pharmacy HCPCS codes for Nevada Medicaid PAD claims. Ensure all claims using these codes include required NDC numbers. Update encounter forms and provider documentation to capture NDC information for these medications.