Njx paravert w/us cer/thor — 59 bundling rules
If your bill lists 0214T alongside any of these codes as separate charges, it may be an unbundling error.
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.
Common unbundling errors — Other 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 0214T
59 code pairs that have billing restrictions with this procedure.
| Code | Description | Rule |
|---|---|---|
| 0333T | Visual ep scr acuity auto | Never bill together |
| 0464T | Visual ep test for glaucoma | Never bill together |
| 0596T | Temp fml iu vlv-pmp 1st insj | May bill with modifier |
| 0597T | Temp fml iu valve-pmp rplcmt | May bill with modifier |
| 36591 | Draw blood off venous device | Never bill together |
| 36592 | Collect blood from picc | Never bill together |
| 51701 | Insert bladder catheter | May bill with modifier |
| 51702 | Insert temp bladder cath | May bill with modifier |
| 51703 | Insert bladder cath complex | May bill with modifier |
| 76000 | Fluoroscopy <1 hr phys/qhp | May bill with modifier |
| 76380 | Cat scan follow-up study | May bill with modifier |
| 76800 | Us exam spinal canal | May bill with modifier |
| 76942 | Echo guide for biopsy | May bill with modifier |
| 76998 | Us guide intraop | May bill with modifier |
| 77001 | Fluoroguide for vein device | May bill with modifier |
| 77002 | Needle localization by xray | May bill with modifier |
| 77003 | Fluoroguide for spine inject | May bill with modifier |
| 77012 | Ct scan for needle biopsy | May bill with modifier |
| 77021 | Mri guidance ndl plmt rs&i | May bill with modifier |
| 92652 | Aep thrshld est mlt freq i&r | Never bill together |
| 92653 | Aep neurodiagnostic i&r | Never bill together |
| 95822 | Eeg coma or sleep only | Never bill together |
| 95860 | Needle emg 1 extremity | Never bill together |
| 95861 | Needle emg 2 extremities | Never bill together |
| 95863 | Needle emg 3 extremities | Never bill together |
| 95864 | Needle emg 4 extremities | Never bill together |
| 95865 | Needle emg larynx | Never bill together |
| 95866 | Needle emg hemidiaphragm | Never bill together |
| 95867 | Ndl emg cranial nrv musc uni | Never bill together |
| 95868 | Ndl emg cranial nrv musc bi | Never bill together |
| 95869 | Ndl emg thrc paraspinal musc | Never bill together |
| 95870 | Ndl emg lmtd std musc 1 xtr | Never bill together |
| 95907 | Nvr cndj tst 1-2 studies | Never bill together |
| 95908 | Nrv cndj tst 3-4 studies | Never bill together |
| 95909 | Nrv cndj tst 5-6 studies | Never bill together |
| 95910 | Nrv cndj test 7-8 studies | Never bill together |
| 95911 | Nrv cndj test 9-10 studies | Never bill together |
| 95912 | Nrv cndj test 11-12 studies | Never bill together |
| 95913 | Nrv cndj test 13/> studies | Never bill together |
| 95925 | Somatosensory testing | Never bill together |
| 95926 | Somatosensory testing | Never bill together |
| 95927 | Somatosensory testing | Never bill together |
| 95928 | C motor evoked uppr limbs | Never bill together |
| 95929 | C motor evoked lwr limbs | Never bill together |
| 95930 | Visual ep test cns w/i&r | Never bill together |
| 95933 | Blink reflex test | Never bill together |
| 95937 | Neuromuscular junction test | Never bill together |
| 95938 | Somatosensory testing | Never bill together |
| 95939 | C motor evoked upr&lwr limbs | Never bill together |
| 95940 | Ionm in operatng room 15 min | Never bill together |
Showing 50 of 59 rules. Show all
FAQ — Other 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.