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MedicaidAdministrativeMedium impact

Error Codes Related to Durable Medical Equipment (DME) Updated

Nevada Medicaid·NV·Provider Announcement
Effective date
Dec 16, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid updated error codes for DME claims conflicts with inpatient facilities, effective December 16, 2024. New suspension error codes 5084-5088 will flag conflicts between DME claims and various inpatient provider types, and error code 5583 replaces 5596 for specific DME items with 36-month limits.

Action Required

Action needed
Immediately: Billing teams at Nevada facilities must update claim processing systems to recognize new error codes 5084-5088 for DME conflicts with inpatient stays. Update DME billing procedures to use error code 5583 instead of 5596 for the 10 specified procedure codes with 36-month limits. Ensure DME claims are submitted within 3 days of discharge to avoid voids with EOB code 8223.

Affected Billing Codes

A4613
A4660
A4670
E0154
E0155
E0157
E0184
E0185
E0187
E0198