MedicaidBilling CodesHigh impact
Quarter 2 2025 New Code Update
Nevada Medicaid·NV·Provider Announcement
Effective date
Apr 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has added new Quarter 2 2025 CPT, HCPCS, and ADA codes to their system effective April 1, 2025. 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
Immediately: Billing team should expect claims with new Q2 2025 codes to suspend with error code 853 until further notice. Monitor for additional Nevada Medicaid announcements about when suspended claims will be released. Prepare to submit retroactive prior authorization requests for new codes requiring prior auth. Track suspended claims for reprocessing once rates are updated.