MedicaidBilling CodesMedium impact
Attention Provider Types 11 (Hospital, Inpatient) and 75 (Critical Access Hospital): Long-Acting Reversible Contraception Devices Services Will Be Opened for Billing
Nevada Medicaid·NV · OB-GYN·Billing & Coding
We identified it
Jun 21, 2026
Summary
Nevada hospitals (inpatient and critical access) can now bill LARC (long-acting reversible contraception) services separately from per diem rates under Fee-for-Service Medicaid. These services must be billed as outpatient claims and can occur concurrently with inpatient stays.
Action Required
Wait for future web announcement: Nevada hospitals (PT 11 and 75) should prepare billing systems to handle LARC services as outpatient claims (PT 12) with concurrent inpatient stays. Ensure NDC submission capability for J-codes and prior authorization workflow for codes 11981 and 11983 when service limits are exceeded. A future announcement will specify when billing can begin.