MedicaidBilling CodesHigh impact
Update on Claims Billed With Modifier 26 or TC
Nevada Medicaid·NV·Billing & Coding
Effective date
Aug 17, 2026
We identified it
Aug 19, 2026
Summary
Nevada Medicaid will now correctly deny claims billed with modifier 26 (Professional Component) or TC (Technical Component) when a corresponding global claim has already been paid for the same recipient and date of service. Effective August 17, 2026, these unbundled claims will be denied with error code 6134. Providers must stop billing component modifiers for global procedures to avoid claim denials.
Action Required
By August 17, 2026: Billing team must implement system edits to prevent submission of claims with modifier 26 or TC when a global claim exists for the same recipient and date of service. Update billing software to flag or block these combinations before submission. Providers must be trained to understand that global procedure codes include both professional and technical components and cannot be billed separately with modifiers 26 or TC. Audit recent claim submissions (back 30-60 days) to identify any paid claims that may require recoupment or correction. Reference Nevada Medicaid Web Announcement 3360 for additional guidance on global service billing. Failure to comply will result in systematic claim denials with error code 6134.