MedicaidCoverageMedium impact
Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 25 (Optometrist), 41 (Optician, Optical Business): Age Restriction for Procedure Code V2760 Added in the Medicaid Management Information System (MMIS) to Match Policy
Nevada Medicaid·NV · Optometry, Ophthalmology·Provider Announcement
Effective date
Jun 22, 2026
We identified it
Jun 23, 2026
Summary
Nevada Medicaid has added age restrictions to procedure code V2760 (scratch resistant coating, per lens) in their billing system, effective June 22, 2026. This service is now limited to EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) recipients only, which means it's restricted to pediatric patients under age 21.
Action Required
By June 22, 2026: Billing teams for Nevada Medicaid providers must update billing systems to restrict procedure code V2760 (scratch resistant coating, per lens) to EPSDT recipients only (patients under age 21). Update encounter forms and staff training to ensure this service is only billed for pediatric patients. Claims for adult patients will be denied after this date.