MedicaidBilling CodesMedium impact
New Error Code for Hospital Discharge Procedure Codes 99238 and 99239
Nevada Medicaid·NV · Internal Medicine, Family Medicine, General Practice +3 more·Provider Announcement
Effective date
Oct 28, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid implemented a new error code 6119 that prevents billing both CPT codes 99238 and 99239 during the same hospital stay. Only one hospital discharge management code can be billed per stay, and providers must choose the appropriate code based on time spent (30 minutes or less vs. more than 30 minutes).
Action Required
Immediately: Billing team must update Nevada Medicaid claims processing to ensure only one hospital discharge management code (99238 OR 99239) is billed per hospital stay. Review current billing practices and train staff to select the correct code based on time documentation. Claims will be denied with error code 6119 if both codes are submitted for the same stay.