MedicaidBilling CodesHigh impact
2025 Annual New Code Update
Nevada Medicaid·NV·Provider Announcement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has added new 2025 CPT, HCPCS, and ADA codes to their system effective January 1, 2025. Claims using these new codes will temporarily suspend with error code 853 until rates and policies are updated, with retroactive prior authorization requests allowed during this transition period.
Action Required
Immediately: Monitor claims for error code 853 (HCPCS Annual Update - Suspend Claims) when using 2025 CPT, HCPCS, or ADA codes for Nevada Medicaid patients. Billing team should track suspended claims and prepare to resubmit once rates are updated. For new codes requiring prior authorization, submit retroactive prior auth requests as needed during the transition period. Watch for additional web announcements regarding when suspended claims will be released.