This paper estimates the perceptions, determinants and barriers regarding the adoption of climate change adaptation options among Nepalese rice farmers. A multi-stage sampling technique was used to source respondents for the study, and structured questionnaire techniques were used to collect data from 773 households across seven districts (3 from Terai and 4 from the hilly region of Nepal). A binomial logistic regression model was used to detangle the determinants for the adoption of climate change adaptation options among farmers. The results revealed that approximately 80.7% of the farmers perceived change in temperature, and 90% believed that there was a decrease in rainfall in the 30-year period. In total, 77% of farming households responded that rice production and yield has decreased due to such changes, which has forced them to adopt available adaptation options. This study found that 12 adaptation options have been mainly used by rice farmers, and among them, there has been an increasing use of chemical fertilizer, climate-smart rice verities, and changes in nursery date, which are the first three adoption options. Overall, 71% of farmers adopt such adaptation options to protect themselves from perceived risk. However, farmers are facing several barriers, such as capital inadequacy, high cost of agricultural inputs, poor adaptation information provided to farmers, inadequate access to credit facilities and inadequate awareness about adaptation regarding the adoption of such options. Binomial regression results revealed that several factors influence a farmer's choice in adaptation measures. Our findings suggest the need for greater investment to remove these barriers and institutional shortcomings and help to improve a rice farmer's wellbeing.