MedicaidBilling CodesMedium impact
Attention Provider Type 17 (Special Clinics) Specialty 166 (Family Planning): Infection Detection Procedure Codes Open for Billing
Nevada Medicaid·NV · OB-GYN, Family Medicine·Billing & Coding
Effective date
Apr 27, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has opened three infection detection procedure codes (87491, 87591, 87801) for billing by Family Planning clinics effective April 27, 2026. These codes can now be billed without prior authorization and no claims will be automatically reprocessed.
Action Required
By April 27, 2026: Family Planning clinics (Provider Type 17, Specialty 166) must update billing systems to allow codes 87491, 87591, and 87801 for infection detection procedures. Update encounter forms and train billing staff that these codes no longer require prior authorization for Nevada Medicaid patients.