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Nevada MedicaidMedicaid · Billing Codes · Billing & Coding · NVHigh impact

Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers): Procedure Code T1015 Closed for Billing

Effective date
Oct 26, 2026
Identified
Oct 27, 2026

Summary

Nevada Medicaid has closed procedure code T1015 (Clinic Visit/Encounter, All-Inclusive) for billing by Provider Type 17 (Special Clinics) specialty 181 (Federally Qualified Health Centers) effective October 26, 2026. This is a go-forward change; no claims will be automatically reprocessed.

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What to do

Action · 4 steps
01Effective October 26, 2026: Billing team must immediately stop submitting procedure code T1015 on claims for Provider Type 17, Specialty 181 (Federally Qualified Health Centers) providers to Nevada Medicaid.
02Update billing system edit rules and coder guidelines to block T1015 submissions for this provider/specialty combination.
03Coordinate with affected FQHC providers to identify alternative billable codes.
04Note: Previously submitted claims using T1015 will not be automatically reprocessed; contact Nevada Medicaid directly if retroactive adjustment is needed for claims dated on or after October 26, 2026.

Codes mentioned

T1015

Original notice

Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers): Procedure Code T1015 Closed for Billing
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Nevada Medicaid changes →
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, 2027HighEffective Jan 1, 2027 · Provider AnnouncementAnnual Rate Adjustment for Provider Type 17 (Special Clinics) Specialty 180 (Rural Health Clinics)MediumEffective Oct 1, 2026 · ReimbursementAnnual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)MediumEffective Oct 1, 2024 · ReimbursementIndian Health Program Rates Adjusted for Calendar Year 2025LowEffective Jan 1, 2025 · Provider AnnouncementBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesCode T1015

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