MedicaidBilling CodesHigh impact
New Error Code to be Implemented for New Patient Codes Billed for the Same Recipient Within Three Years
Nevada Medicaid·NV·Provider Announcement
Effective date
Sep 16, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid will implement error code 6151 starting September 16, 2024, to deny new patient visit codes billed for the same recipient within three years by the same provider or group practice/specialty. Providers must use established patient codes instead of new patient codes if the recipient was seen within the past three years.
Action Required
By September 16, 2024: Billing team must update systems to track patient visit history within three years for Nevada Medicaid recipients. Verify patient eligibility before billing new patient visit codes - if recipient was seen by same provider or group practice/specialty within three years, bill established patient codes instead. Claims with new patient codes for recipients seen within three years will be denied with error code 6151.