Back to dashboard
MedicaidBilling CodesHigh impact

Attention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment), and 93 (Substance Use Treatment): Substance Use Treatment and Behavioral Health Procedure Codes Available for Billing (Updated)

Nevada Medicaid·NV · Psychiatry·Billing & Coding
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has updated the list of billable procedure codes for behavioral health and substance use treatment providers. Specific provider types can now bill designated CPT and HCPCS codes, with some codes requiring prior authorization and linkage to PT 93 billing providers.

Action Required

Action needed
Immediately: Behavioral health and substance use treatment providers must update billing systems to include the newly approved procedure codes for their specific provider types. Ensure prior authorization is obtained for codes H0011, H0018, and H0019. Link PT 14 specialty 300 and PT 82 specialty 300 providers to PT 93 billing providers when submitting claims for residential treatment codes. Review denied claims from July 1, 2024 forward as they will be automatically reprocessed.

Affected Billing Codes

99408
99409
H0005
H0049
H0011
H0018
H0019
90785
90791
90832
90834
90837
90846
90847
90849
90853
90839
90840
99406
99407