MedicaidBilling CodesHigh impact
2026 Annual New Code Update
Nevada Medicaid·NV·Provider Announcement
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has added 2026 CPT, HCPCS, and ADA codes to their system effective January 1, 2026, but rates are still being updated. Claims with 2026 codes will suspend with error code 853 until rates and policies are finalized, and retroactive prior authorization requests will be allowed during this transition period.
Action Required
Immediately: Begin using appropriate 2026 CPT, HCPCS, and ADA codes for Nevada Medicaid claims with dates of service on or after January 1, 2026. Billing team should expect claims to suspend with error code 853 until rates are updated. Monitor for additional web announcements regarding when suspended claims will be released for processing. Submit retroactive prior authorization requests as needed for new codes requiring prior auth.