MedicaidAdministrativeMedium impact
Quarter 4 2025 New Code Update
Nevada Medicaid·NV·Provider Announcement
Effective date
Oct 27, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their system with rates for Quarter 4 2025 CPT, HCPCS, and ADA codes. Claims with these new codes will now process automatically instead of being suspended, and previously suspended claims will be released for adjudication.
Action Required
Immediately: Billing team should monitor remittance advice for previously suspended claims with new Quarter 4 codes that will be automatically reprocessed. Be prepared for potential denials due to other system edits during reprocessing and review appeal procedures in Medicaid Services Manual Chapter 100 if needed.