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Nevada MedicaidMedicaid · Administrative · Provider Enrollment · NV · Physical Therapy, Occupational TherapyMedium impact

Attention Provider Type 34 (Therapy) Specialties 027 (Physical Therapy) and 028 (Occupational Therapy): Update On Claims for Procedure Codes 97129, 97130, and 97533

Act
immediately
Effective date
Feb 9, 2026
Identified
Jun 21, 2026

Summary

Nevada Medicaid has fixed a system error that was incorrectly denying claims for cognitive therapy and sensory integration procedures (CPT codes 97129, 97130, and 97533) from physical and occupational therapy providers. Claims with dates of service from January 1, 2026 that were previously denied will be automatically reprocessed for payment.

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What to do

immediately · 2 steps
01Physical therapy and occupational therapy billing teams should monitor future remittance advices for reprocessed claims with dates of service from January 1, 2026 that were previously denied with error codes 4149 or 4150.
02Review any new denials that may result from reprocessing and appeal if necessary following Medicaid Services Manual Chapter 100 procedures.

Codes mentioned

971299713097533

Original notice

Attention Provider Type 34 (Therapy) Specialties 027 (Physical Therapy) and 028 (Occupational Therapy): Update On Claims for Procedure Codes 97129, 97130, and 97533
medicaid.nv.gov · Always check the source before changing claims.
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Related changes

See all Nevada Medicaid changes →
Attention Provider Type 34 (Therapy) Specialties 29 (Speech Pathologist) and 219 (Speech Pathologist Language): Prior Authorization Requirements Removed for Certain Speech Therapy Services Effective January 1, 2026MediumEffective Jan 1, 2026 · Prior AuthorizationReminder to Provider Type 34 (Therapy) Specialties 29 (Speech Pathologist) and 219 (Speech Pathologist Language): Prior Authorization Requirements Removed for Certain Speech Therapy ServicesMediumEffective Jan 1, 2026 · Prior AuthorizationError Codes 5612 and 5619 Updated for Current Procedural Terminology (CPT) Codes 92510–97761MediumEffective Nov 25, 2024 · Billing & CodingBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesPhysical TherapyOccupational TherapyCode 97129Code 97130Code 97533

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