New 2016 CPT and HCPCS codes
March 28, 2016Effective March 21, 2016, rates and prior authorization (PA) requirements for the new 2016 CPT and HCPCS codes will be updated in the Nevada Medicaid Management Information System (MMIS). Providers are reminded to use the appropriate 2016 codes, when applicable, on claims with dates of service on or after January 1, 2016. Claims with the 2016 codes that denied with edit codes 0210 (No fees found on file) and/or 0309 (Services not covered) and/or 0148 (Rendering provider is not certified to perform procedure) because the rates and PA requirements were not updated for the new covered codes in MMIS will be automatically reprocessed with no further action required by providers. The results of the reprocessed claims will be reflected on a future remittance advice.