MedicaidBilling CodesMedium impact
Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurses), 26 (Psychologist), and 77 (Physician’s Assistant): Behavioral Health Procedure Codes Open for Billing
Nevada Medicaid·NV · Psychiatry, Family Medicine, Internal Medicine·Billing & Coding
Effective date
Feb 9, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has opened specific behavioral health procedure codes for billing by physicians, APRNs, psychologists, and physician assistants effective February 9, 2026. The newly billable codes include multiple-family group psychotherapy, alcohol/drug assessments, telehealth fees, and intensive outpatient psychiatric services, with specific service limitations and prior authorization requirements.
Action Required
Immediately: Billing team must update Nevada Medicaid billing software to allow the newly opened behavioral health codes (90849, H0001, Q3014, S9480, 96112, 96113, 96121, 96170, 96171) for appropriate provider types. Configure service limitations: 90849 limited to 1 unit/day and annual limits by age, H0001 limited to 1 unit per 90 days, S9480 requires prior auth and BHCN network participation. Update encounter forms to reflect new billable services and remind providers of limitations.