MedicaidBilling CodesMedium impact
Medicaid Management Information System Updated with NCCI Quarter 3 2024 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their system with new National Correct Coding Initiative (NCCI) edits for Quarter 3 2024, which will affect how procedure code combinations are processed and validated. The system will now use updated Medically Unlikely Edits (MUE) and Procedure-to-Procedure (PTP) edits to prevent improper payments when incorrect code combinations are reported.
Action Required
By July 1, 2024: Billing team must ensure all procedure codes are billed with correct modifier combinations and verify code combinations comply with updated NCCI edits. Review CMS NCCI website at https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html for specific edit details. Claims with incorrect code combinations or exceeding MUE limits will be denied.