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Double-Charge Detector 01953

Anes 2&3 burn ea add 9% tbsa — 53 bundling rules

If your bill lists 01953 alongside any of these codes as separate charges, it may be an unbundling error.

By Elena Vasquez , Medical Billing Research Lead · ·
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

NCCI edit data
53 code pairs
Updated 2026-04-03
Bundling rules — 01953
NCCI edits: these codes have billing restrictions when billed with 01953
0195336000Place needle in veinMay bill with modifier36591Draw blood off venous deviceNever bill together36592Collect blood from piccNever bill together43752Nasal/orogastric w/tube plmtMay bill with modifier76998Us guide intraopNever bill together93050Art pressure waveform analysNever bill together95700Eeg cont rec w/vid eeg techNever bill together95705Eeg w/o vid 2-12 hr unmntrNever bill together
Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

Common unbundling errors — Evaluation/Management procedures

Unbundling occurs when medical providers bill separately for services that should be combined into a single charge according to National Correct Coding Initiative (NCCI) rules. In evaluation and management procedures, the most common unbundling patterns include billing basic office visit codes alongside routine procedures that are already included in the visit, such as vital signs monitoring or standard physical examinations. Another frequent error involves separately charging for brief consultations or follow-up discussions that are components of the primary E/M service. Additionally, providers sometimes incorrectly unbundle diagnostic interpretations or care coordination activities that are integral parts of the evaluation process. With 276 E/M codes subject to NCCI bundling restrictions, these errors create charges above the benchmark for patients who may be billed twice for what should constitute a single comprehensive service. Understanding these bundling rules helps identify potential differences between submitted claims and appropriate coding standards, ensuring patients receive accurate billing for their medical services.

What to check on your bill

When reviewing your medical bill for evaluation and management services, examine these key areas to identify potential bundling issues. First, check for duplicate charges by looking for multiple procedure codes on the same date that should typically be combined, such as separate charges for consultation, examination, and decision-making that occurred during one visit. Second, watch for code patterns where basic services appear alongside comprehensive codes—for example, a simple office visit code billed with a complete physical exam code for the same encounter. Third, verify that separately billed procedures include appropriate modifiers like "25" or "59," which indicate distinct services that justify separate billing. Fourth, compare charges above the benchmark for your area, as unbundled services often result in higher total costs than bundled alternatives. Review itemized statements carefully, as these billing practices can create potential differences in your final charges.

All bundling rules for 01953

53 code pairs that have billing restrictions with this procedure.

51
Never bill together
2
May bill with modifier
Code Description Rule
36000 Place needle in vein May bill with modifier
36591 Draw blood off venous device Never bill together
36592 Collect blood from picc Never bill together
43752 Nasal/orogastric w/tube plmt May bill with modifier
76998 Us guide intraop Never bill together
93050 Art pressure waveform analys Never bill together
95700 Eeg cont rec w/vid eeg tech Never bill together
95705 Eeg w/o vid 2-12 hr unmntr Never bill together
95706 Eeg wo vid 2-12hr intmt mntr Never bill together
95707 Eeg w/o vid 2-12hr cont mntr Never bill together
95708 Eeg wo vid ea 12-26hr unmntr Never bill together
95709 Eeg w/o vid ea 12-26hr intmt Never bill together
95710 Eeg w/o vid ea 12-26hr cont Never bill together
95711 Veeg 2-12 hr unmonitored Never bill together
95712 Veeg 2-12 hr intmt mntr Never bill together
95713 Veeg 2-12 hr cont mntr Never bill together
95714 Veeg ea 12-26 hr unmntr Never bill together
95715 Veeg ea 12-26hr intmt mntr Never bill together
95716 Veeg ea 12-26hr cont mntr Never bill together
95717 Eeg phys/qhp 2-12 hr w/o vid Never bill together
95718 Eeg phys/qhp 2-12 hr w/veeg Never bill together
95719 Eeg phys/qhp ea incr w/o vid Never bill together
95720 Eeg phy/qhp ea incr w/veeg Never bill together
95721 Eeg phy/qhp>36<60 hr w/o vid Never bill together
95722 Eeg phy/qhp>36<60 hr w/veeg Never bill together
95723 Eeg phy/qhp>60<84 hr w/o vid Never bill together
95724 Eeg phy/qhp>60<84 hr w/veeg Never bill together
95725 Eeg phy/qhp>84 hr w/o vid Never bill together
95726 Eeg phy/qhp>84 hr w/veeg Never bill together
95812 Eeg 41-60 minutes Never bill together
95813 Eeg extnd mntr 61-119 min Never bill together
95816 Eeg awake and drowsy Never bill together
95819 Eeg awake and asleep Never bill together
95822 Eeg coma or sleep only Never bill together
95829 Surgery electrocorticogram Never bill together
95957 Eeg digital analysis Never bill together
96523 Irrig drug delivery device Never bill together
99151 Mod sed same phys/qhp <5 yrs Never bill together
99152 Mod sed same phys/qhp 5/>yrs Never bill together
99153 Mod sed same phys/qhp ea Never bill together
99155 Mod sed oth phys/qhp <5 yrs Never bill together
99156 Mod sed oth phys/qhp 5/>yrs Never bill together
99157 Mod sed other phys/qhp ea Never bill together
99358 Prolong service w/o contact Never bill together
99359 Prolong serv w/o contact add Never bill together
99418 Prolng ip/obs e/m ea 15 min Never bill together
99446 Ntrprof ph1/ntrnet/ehr 5-10 Never bill together
99447 Ntrprof ph1/ntrnet/ehr 11-20 Never bill together
99448 Ntrprof ph1/ntrnet/ehr 21-30 Never bill together
99449 Ntrprof ph1/ntrnet/ehr 31/> Never bill together

Showing 50 of 53 rules. Show all

FAQ — Evaluation/Management procedure bundling

What does 'bundled' mean on a medical bill and what is NCCI bundling?
NCCI (National Correct Coding Initiative) bundling means certain medical procedures and services should be billed together as one comprehensive code rather than separately. When services are 'bundled,' it indicates that one primary procedure code includes related or component services that cannot be billed individually on the same date of service.
How can I identify if evaluation and management codes were incorrectly unbundled on my bill?
Incorrect unbundling occurs when you see separate charges for services that should be included in a comprehensive E/M visit code, such as multiple office visit codes on the same date or add-on services billed separately when they're part of the primary evaluation. Review your itemized bill for multiple E/M codes on the same date or related diagnostic services that may fall under NCCI bundling restrictions.
What should I do if I find charges that appear to be incorrectly unbundled?
Contact your healthcare provider's billing department to request a detailed explanation of the separate charges and ask them to review the coding against NCCI guidelines. You can also request documentation showing why the services were billed separately and whether appropriate modifiers were used to justify the unbundling.
When is it legitimate for providers to use modifiers to override NCCI bundling rules?
Modifiers are legitimate when services are performed at different anatomical sites, during separate patient encounters on the same day, or when procedures are truly distinct and independent from the primary service. The provider must document medical necessity and the distinct nature of the services to justify using modifiers like -25, -59, or -XS to override standard bundling rules.
Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

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.

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