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MedicaidBilling CodesMedium impact

Quarter 3 2026 New Code Update

Nevada Medicaid·NV·Provider Announcement
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Days to comply
9 days

Summary

Nevada Medicaid has added new Quarter 3 2026 CPT, HCPCS, and ADA codes to their system effective July 1, 2026. Claims using these new codes will suspend with error code 853 until rates and policies are updated, but providers can submit retroactive prior authorization requests during this transition period.

Action Required

Before Jul 1, 2026
Starting July 1, 2026: Billing team should expect claims with Quarter 3 2026 new CPT, HCPCS, and ADA codes to suspend with error code 853 until Nevada Medicaid updates rates and policies. Monitor for additional web announcements regarding when suspended claims will be released. Submit retroactive prior authorization requests for new codes requiring prior auth as needed during the transition period.