MedicaidBilling CodesHigh impact
Attention Provider Types 17 (Special Clinics) Specialty 181 (Federally Qualified Health Center) and 47 (Tribal Health Clinics): End-Date of CDT D1999, Tentatively Effective January 1, 2027
Nevada Medicaid·NV · Dentistry·Provider Announcement
Effective date
Jan 1, 2027
We identified it
Oct 13, 2026
Summary
Nevada Medicaid will end-date CDT code D1999 (used for diabetic dental services under the 1115 Whole Mouth Whole Body Dental Demonstration Waiver) effective January 1, 2027. Starting that date, Tribal Health Clinics (PT 47) will bill covered dental services under the T1015 encounter rate, while Federally Qualified Health Centers (PT 17 Specialty 181) will bill using D2999 and applicable shadow billing codes.
Action Required
By January 1, 2027: Billing team for Tribal Health Clinics (Provider Type 47) must transition from billing CDT code D1999 to billing covered dental services under the T1015 encounter rate in the billing system. Billing team for Federally Qualified Health Centers (Provider Type 17, Specialty 181) must transition from billing CDT code D1999 to billing covered dental services using D2999 and applicable shadow billing codes in the billing system. Verify current patient rosters receiving services under the waiver and prepare claims processes for the new billing codes/rates. Contact medicalprograms@nvha.nv.gov for questions regarding the waiver discontinuation.