MedicaidBilling CodesMedium impact
Medicaid Management Information System Updated with NCCI Quarter 3 2025 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated its billing system with new National Correct Coding Initiative (NCCI) Quarter 3 2025 files that include updated Medically Unlikely Edits (MUE) and Procedure-to-Procedure (PTP) edits. These updates will affect how claims are processed and may result in denials for incorrect code combinations or units exceeding limits.
Action Required
Before July 1, 2025: Billing team must review and update billing practices to ensure correct modifier combinations and code pairings for Nevada Medicaid claims. Verify current procedure code combinations against new NCCI edit files available at cms.gov/medicare/coding-billing/ncci-medicaid to prevent claim denials for improper code combinations or exceeding unit limits.