Wiki BUNDLING QUESTION

[Tshallenberger]

My colorectal surgeon performed an LAR w/ diversion 44208 as well as a rt colectomy w/ anastomosis 44205. I have Optum Encoder Pro which shows I can bill both with the use of a modifier. Is that correct?

 

[CBLENNIE]

When I check the CCI edits on 44208 & 44205 in Encoder Pro for Payers Professional version it shows that 44208 is a column 1 code and is primary over 44205 and that a modifier is never allowed to override the edit. Codify shows the same CCI edit.

I tried to insert a screen print of the coding info for the CCI coding check, but I keep getting error for the AAPC website when I attempt to insert the image.