MedicaidBilling CodesMedium impact
Quarter 4 2025 New Code Update
Nevada Medicaid·NV·Provider Announcement
Effective date
Oct 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is implementing new Q4 2025 CPT, HCPCS, and ADA codes effective October 1, 2025. Claims using these new codes will initially suspend with error code 853 until rates and policies are updated in the system, with retroactive prior authorization requests allowed during the transition period.
Action Required
By October 1, 2025: Billing team must prepare for temporary claim suspensions when using new Q4 2025 codes for Nevada Medicaid patients. 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.