96130 with Nevada Medicaid: what the policy says
The short answerYes, and 96130 itself needs no prior authorization in Nevada Medicaid. But a psychological testing PA request must include one unit of 96130 plus one unit of 96136 or 96138, and the administration codes do need PA.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Nevada. Public policy, not the member's benefits.
Nevada Medicaid
Provider Type 26 Billing Guide, Psychologist (updated 01/12/2026) · Nevada
| 96130 | Listed (no prior authorization required for the evaluation codes themselves) [1] |
|---|---|
| 96131 | Listed (no prior authorization required for the evaluation codes themselves) [1] |
| 96132 | Listed (prior authorization required) [1] |
| 96133 | Listed (prior authorization required) [1] |
| 96136 | Listed (prior authorization required) [1] |
| 96137 | Listed (prior authorization required) [1] |
| 96138 | Listed (prior authorization required) [1] |
| 96139 | Listed (prior authorization required) [1] |
| 96146 | Listed (prior authorization required) [1] |
| Visit limits | A psychological testing PA request must include one unit of 96130 and one unit of 96136 or 96138. A neuropsychological request must include one unit of 96132 and one unit of 96136 or 96138. [1] |
| Prior authorization | PA is required for 96136 to 96139 (psychological and neuropsychological), 96132 and 96133, and 96146. The request must show medical necessity and units must not exceed the reasonable time to answer the referral question. Forms: FA-10A psychological, FA-10B neuropsychological, FA-10D automated testing. [1] |
| Who can bill | Provider type 26 enrolls psychologists, neuropsychology, child and adolescent psychology, clinical psychology, psychological assistants, interns and trainees under specialty codes. [1] |
- Nevada Medicaid: Provider Type 26 Billing Guide, Psychologist (updated 01/12/2026), checked October 30, 2026
What Nevada Medicaid's policy says about 96130
96130 is the CPT code for psychological testing evaluation services, first hour. At Nevada Medicaid it is listed: named in the payer's public policy. Each line below is from the cited text:
- Billed with. The administration and scoring codes 96136 to 96139 need prior authorization; use form FA-10A for psychological testing. (Nevada Medicaid, checked October 30, 2026)
- Units. A PA request for psychological testing must include one unit of 96130 and one unit of 96136 or 96138. (Nevada Medicaid, checked October 30, 2026)
- Prior authorization. Psychological testing evaluation services 96130 and 96131 do not require prior authorization. (Nevada Medicaid, checked October 30, 2026)
96130 at other payers
- 96130 with Medicare (national): listed.
- 96130 with UnitedHealthcare and Optum Behavioral: limited.
- 96130 with Washington Apple Health: limited.
- 96130 with South Carolina Medicaid (RBHS): limited.
The rest of Nevada Medicaid's psychological testing rules
The Nevada Medicaid row has its codes, telehealth rule, limits and authorization, each with its source. Other codes we checked at Nevada Medicaid: 96132. Before the claim goes out, compare it with the row in the table above.