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Medicaid Management Information System Updated with NCCI Quarter 2 2025 Files
Effective date
Apr 1, 2025
Identified
Jun 21, 2026
Summary
Nevada Medicaid has updated its system with CMS NCCI Quarter 2 2025 files, which include new Medically Unlikely Edits (MUE) and Procedure-to-Procedure (PTP) edits that will affect claim processing. These updates will prevent improper payments when incorrect code combinations are reported or service limitations are exceeded.
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What to do
Action · 3 steps
01Before April 1, 2025: Billing team must review current Nevada Medicaid claims for code combinations that may be affected by new NCCI edits.
02Verify all procedure codes are billed with correct modifier combinations and appropriate units of service.
03Monitor initial claims submissions after April 1st for any new denials related to NCCI edits and adjust billing practices accordingly.
Original notice
Medicaid Management Information System Updated with NCCI Quarter 2 2025 Files
medicaid.nv.gov · Always check the source before changing claims.
Related changes
See all Nevada Medicaid changes →Medicaid Management Information System Updated with NCCI Quarter 4 2026 FilesHighEffective Oct 1, 2026 · Billing & CodingMedicaid Management Information System Updated with NCCI Quarter 3 2024 FilesMediumEffective Jul 1, 2024 · Billing & CodingMedicaid Management Information System Updated with NCCI Quarter 4 2024 FilesMediumEffective Oct 1, 2024 · Billing & CodingMedicaid Management Information System Updated with NCCI Quarter 1 2025 FilesMediumEffective Jan 1, 2025 · Billing & CodingBrowse every Nevada Medicaid change in the policy list