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Nevada MedicaidMedicaid · Billing Codes · Provider Enrollment · NV · OB-GYN, Family MedicineMedium impact

Attention Provider Type 17 Specialties 180 (Rural Health Clinics) and 181 (Federally Qualified Health Centers): Long-Acting Reversible Contraception (LARC) Devices Services Available

Act
immediately
Effective date
Jan 1, 2024
Identified
Jun 21, 2026

Summary

Nevada Medicaid now allows Rural Health Clinics and Federally Qualified Health Centers to bill separately for Long-Acting Reversible Contraception (LARC) devices and services under Fee-for-Service instead of bundled PPS rates. These providers can now bill specific CPT and HCPCS codes for IUD and contraceptive implant insertion, removal, and the devices themselves.

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What to do

immediately · 3 steps
01Nevada RHCs and FQHCs (Provider Type 17, Specialties 180 and 181) should update billing systems to bill LARC procedure codes 58300, 58301, 11981, 11982, 11983 and device codes J7296-J7301, J7307 separately from PPS encounter rates.
02Ensure NDC codes are included with J-codes and obtain prior authorization for service limits on codes 11981 and 11983.
03Previously denied claims will be automatically reprocessed.

Codes mentioned

5830058301119811198211983J7296J7297J7298J7300J7301J7307

Original notice

Attention Provider Type 17 Specialties 180 (Rural Health Clinics) and 181 (Federally Qualified Health Centers): Long-Acting Reversible Contraception (LARC) Devices Services Available
medicaid.nv.gov · Always check the source before changing claims.
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