0079U — 377 bundling rules
If your bill lists 0079U alongside any of these codes as separate charges, it may be an unbundling error.
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
Common unbundling errors — medical procedures
Unbundling occurs when medical providers bill two separate codes for services that should be combined into a single charge according to National Correct Coding Initiative (NCCI) rules. In other procedures including anesthesia, radiology, pathology, and miscellaneous support services, common unbundling patterns include separately billing diagnostic imaging with its professional interpretation when both should be included in one comprehensive code, and charging for basic monitoring or preparation services alongside the primary procedure when these components are considered integral parts of the main service. Another frequent error involves billing multiple pathology examination codes for what constitutes a single comprehensive analysis. With 809 other codes subject to bundling restrictions in the NCCI database, these errors create charges above the benchmark for patients who receive multiple bills for what should constitute one complete service. The potential difference between unbundled billing and correct coding practices can significantly impact patient financial responsibility, as they may face duplicate charges for components of care that medical coding standards define as a single billable service.
What to check on your bill
When reviewing itemized bills for procedure bundling issues, patients should examine several key areas to identify potential billing irregularities. Look for multiple procedure codes billed on the same date that represent components of a comprehensive service, such as separate charges for incision, repair, and closure when these steps are typically included in one primary procedure code. Watch for code patterns where related procedures share the same first three digits, as these often indicate services that should be bundled together under Medicare's Correct Coding Initiative. Check for appropriate modifier usage, particularly modifier 59 or XS, which legitimately allow separate billing when procedures are performed on different anatomical sites or during distinct sessions. Without proper modifiers, separately billed related procedures may represent charges above the benchmark. Compare your itemized statement against standard bundling practices for your specific procedure type to identify potential differences in billing patterns.
All bundling rules for 0079U
377 code pairs that have billing restrictions with this procedure.
| Code | Description | Rule |
|---|---|---|
| 0009U | Onc brst ca erbb2 amp/nonamp | May bill with modifier |
| 0071U | Cyp2d6 full gene sequence | Never bill together |
| 0086U | Nfct ds bact&fng org id 6+ | May bill with modifier |
| 0111U | Onc colon ca kras&nras alys | Never bill together |
| 0112U | Iadi 16s&18s rrna genes | May bill with modifier |
| 0115U | Respir iadna 18 viral&2 bact | May bill with modifier |
| 0136U | Atm mrna seq alys | Never bill together |
| 0137U | Palb2 mrna seq alys | Never bill together |
| 0138U | Brca1 brca2 mrna seq alys | Never bill together |
| 0140U | Nfct ds fungi dna 15 trgt | May bill with modifier |
| 0141U | Nfct ds bact&fng gram pos | May bill with modifier |
| 0142U | Nfct ds bact&fng gram neg | May bill with modifier |
| 0155U | Onc brst ca dna pik3ca gene | Never bill together |
| 0156U | Copy number sequence alys | Never bill together |
| 0157U | Apc mrna seq alys | Never bill together |
| 0158U | Mlh1 mrna seq alys | Never bill together |
| 0159U | Msh2 mrna seq alys | Never bill together |
| 0160U | Msh6 mrna seq alys | Never bill together |
| 0161U | Pms2 mrna seq alys | Never bill together |
| 0177U | Onc brst ca dna pik3ca 11 | Never bill together |
| 0202U | Nfct ds 22 trgt sars-cov-2 | May bill with modifier |
| 0212U | Rare ds gen dna alys proband | Never bill together |
| 0213U | Rare ds gen dna alys ea comp | Never bill together |
| 0229U | Bcat1&ikzf1 prmtr mthyln aly | Never bill together |
| 0230U | Ar full sequence analysis | Never bill together |
| 0231U | Cacna1a full gene analysis | Never bill together |
| 0232U | Cstb full gene analysis | Never bill together |
| 0233U | Fxn gene analysis | Never bill together |
| 0234U | Mecp2 full gene analysis | Never bill together |
| 0235U | Pten full gene analysis | Never bill together |
| 0236U | Smn1&smn2 full gene analysis | Never bill together |
| 0252U | Ftl aneuploidy str alys dna | Never bill together |
| 0318U | Ped whl gen mthyltn alys 50+ | Never bill together |
| 0321U | Iadna gu pthgn 20bct&fng org | May bill with modifier |
| 0330U | Iadna vag pthgn panel 27 org | May bill with modifier |
| 0336U | Rare ds whl gen seq bld/slv | Never bill together |
| 0341U | Ftl aneup dna seq cmpr alys | Never bill together |
| 0425U | Genom rpd seq alys ea cmprtr | Never bill together |
| 0454U | Rare ds id opt genome mapg | May bill with modifier |
| 0469U | Rare ds whl gen seq ftl samp | May bill with modifier |
| 80503 | Path clin consltj sf 5-20 | May bill with modifier |
| 80504 | Path clin consltj mod 21-40 | May bill with modifier |
| 80505 | Path clin consltj high 41-60 | May bill with modifier |
| 80506 | Path clin consltj prolng svc | May bill with modifier |
| 81105 | Hpa-1 genotyping | Never bill together |
| 81106 | Hpa-2 genotyping | Never bill together |
| 81107 | Hpa-3 genotyping | Never bill together |
| 81108 | Hpa-4 genotyping | Never bill together |
| 81109 | Hpa-5 genotyping | Never bill together |
| 81110 | Hpa-6 genotyping | Never bill together |
Showing 50 of 377 rules. Show all
FAQ — medical procedure bundling
What is NCCI bundling and what does 'bundled' mean on a medical bill?
How can I identify if codes were incorrectly unbundled on my bill?
What should I do if I find unbundled charges on my medical bill?
When is it legitimate to use modifiers to override NCCI bundling rules?
Data source: CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits, updated quarterly. These code pairs are maintained by CMS to prevent improper billing of services that should be billed as a single procedure.
What this means: When two codes are listed as an NCCI edit pair, billing them separately on the same date of service is typically incorrect. "Never bill together" means no modifier can override the rule. "May bill with modifier" means the codes can be billed separately with appropriate documentation.