INCORRECT CCI EDITS WITH APRIL 1ST UPDATE for ACDF surgery codes

We received and incorrect CCI edits when billing for a one level ACDF surgery (example 22551,22853,22845,20930/20936)
The edit stated that 22853 and 22845 were bundled but a modifier could be used.
both of these codes are (+)add on cpt codes.
per coding guidelines we understand that (+) add on CPT codes should not need modifiers.
The add on code 22853 is a new code for 2017 and the new NCCI edit was in the April updates.
Has anyone seen issues with this or heard anything from Medicare regarding this incorrect edit?
CCI attached

Comments

  • I'm not certain it's an incorrect edit; 22853 includes "...integral anterior instrumentation for device anchoring (eg, screws, flanges)...". I think of the last 10 of these I've looked at, only 1 had any instrumentation other than anchoring mentioned.
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