MedicaidPrior AuthMedium impact
Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.) Specialties 063 (Ophthalmology) and 158 (Vitreoretinal Surgery): Physician-Administered Drug (PAD) Code J9035 Will No Longer Deny with Error Code 3001
Nevada Medicaid·NV · Ophthalmology·Pharmacy
Effective date
Nov 10, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has eliminated the prior authorization requirement for Bevacizumab injections (J9035) when provided by ophthalmologists and vitreoretinal surgeons. Claims previously denied with error code 3001 since July 30, 2024 will be automatically reprocessed for payment.
Action Required
Immediately: Nevada ophthalmology and vitreoretinal surgery practices should stop obtaining prior authorization for Bevacizumab injections (J9035) for Medicaid patients. Update billing workflows to remove PA requirements for this drug code. Monitor future remittance advice for automatically reprocessed claims from July 30, 2024 forward.