MedicaidBilling CodesMedium impact
Attention Provider Types 20 (Physician, M.D., and Osteopath, D.O.), 24 (Advanced Practice Registered Nurses (APRN)), and 77 (Physician’s Assistant (PA)): Billing Guide Updated (Updated July 15, 2025)
Nevada Medicaid·NV · Radiology·Billing & Coding
Effective date
Jul 11, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated billing requirements for radiology procedures effective July 11, 2025. Radiology codes with RT (right) and LT (left) modifiers must now be billed on separate claim lines, and technical component (TC) or professional component (26) modifiers must be used appropriately.
Action Required
Immediately: Billing team must update Nevada Medicaid claims to bill radiology codes with RT and LT modifiers on separate claim lines. Use modifier TC for technical component only and modifier 26 for professional component only. Update billing software rules and train staff on new radiology billing requirements.