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MedicaidBilling CodesHigh impact

2026 Annual New Code Update

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

Summary

Nevada Medicaid is implementing 2026 new CPT, HCPCS, and ADA codes effective January 1, 2026. Claims with new 2026 codes will initially suspend with error code 853 until rates and policies are updated in the system, with retroactive prior authorization allowed during the transition period.

Action Required

Action needed
By January 1, 2026: Billing team must prepare to use new 2026 CPT, HCPCS, and ADA codes for Nevada Medicaid claims. Expect initial claim suspensions with error code 853 until system rates are updated. Monitor for additional web announcements regarding when suspended claims will be released and deadlines for retroactive prior authorization submissions.