MedicaidBilling CodesMedium impact
Medicaid Management Information System Updated with NCCI Quarter 4 2024 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Oct 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their system with NCCI Quarter 4 2024 files, which includes new Medically Unlikely Edits (MUE) and Procedure-to-Procedure (PTP) edits that will affect claims processing. Providers must ensure they use correct modifier combinations and code combinations to prevent claim denials.
Action Required
By October 1, 2024: Billing team must review current billing practices to ensure all procedure codes are billed with correct modifier combinations and verify code combinations comply with updated NCCI edits. Monitor for increased claim denials and review CMS NCCI website for specific edit details. Claims with incorrect code combinations or exceeding MUE limits will be denied.