Texan Plus is denying CPT 93459-26 for lack of anatomical modifier. They are citing Pub. 100-20
Transmittal: 1136, Date: November 1, 2012, Change Request: 8111 as the policy from CMS they are following.

B. Policy:
Each NCCI edit has a modifier indicator of 0, 1, or 9.A modifier indicator of 0 indicates that an edit should never be bypassed even if an NCCI-associated modifier is utilized on the claim.That is, the column two code of the edit must be denied.A modifier indicator of 1 indicates that an edit may be bypassed if an appropriate NCCI-associated modifier is appended to the column one and/or column two code on an NCCI edit.That is, the column two code of the edit may be paid if an NCCI-associated modifier is appended to an appropriate code of the edit pair.A modifier indicator of 9 is assigned as a placeholder for edits that have been deleted.
The current NCCI-associated modifiers are: E1, E2, E3, E4, FA, F1, F2, F3, F4, F5, F6, F7, F8, F9, LC, LD, RC, LT, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9, 25, 27, 58, 59, 78, 79, and 91.
Additional modifiers shall be added to the above list of NCCI-associated modifiers that will allow an edit with modifier indicator of “1” to be bypassed when the modifier is utilized correctly. These modifiers are LM (left main coronary artery), RI (ramus intermedius coronary artery), 24 (unrelated evaluation and management service by the same physician during a postoperative period), and 57 (decision for surgery). Refer to Attachment A (Medicare Claims Processing Manual, Pub. 100.04, Chapter 23, Section 20.9.1 and 20.9.1.1) will be updated in the near future to include these new NCCI asociated modifiers.

These denials just started within the past two weeks.

Has anyone else encountered this issue?

Thank you,
Pam