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Nevada MedicaidMedicaid · Prior Auth · Provider Announcement · NV · Ophthalmology, OptometryMedium impact

Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Update to Procedure Codes V2020 and V2750

Act
immediately
Effective date
Nov 11, 2024
Identified
Jun 21, 2026

Summary

Nevada Medicaid changed error codes for vision frame procedure V2020 from calendar year to rolling 12-month limits, and removed prior authorization requirements for anti-reflective coating procedure V2750 for patients under age 21.

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What to do

immediately · 4 steps
01Billing team must update system to expect error code 5521 (not 5687) when V2020 vision frame limits are exceeded.
02Remove prior authorization requirements for V2750 anti-reflective coating claims for patients under age 21.
03Prior auth still required for V2750 when service limits exceeded for patients 21+.
04Claims will not be automatically reprocessed.

Codes mentioned

V2020V2750

Original notice

Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Update to Procedure Codes V2020 and V2750
medicaid.nv.gov · Always check the source before changing claims.
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