Double-Charge Detector 0216T

Njx paravert w/us lumb/sac — 151 bundling rules

If your bill lists 0216T alongside any of these codes as separate charges, it may be an unbundling error.

By David Park , Healthcare Cost Researcher · Published March 15, 2026 · Updated April 3, 2026

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.

NCCI edit data

151 code pairs

Updated 2026-04-03

Bundling rules — 0216T

NCCI edits: these codes have billing restrictions when billed with 0216T

Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

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 0216T

151 code pairs that have billing restrictions with this procedure.

Never bill together

May bill with modifier

Code	Description	Rule
01991	Anesth nerve block/inj	Never bill together
01992	Anesth n block/inj prone	Never bill together
0333T	Visual ep scr acuity auto	Never bill together
0464T	Visual ep test for glaucoma	Never bill together
0545T	Tcat tv annulus rcnstj	Never bill together
0903T	Ecg alg 12 lead reduced i&r	May bill with modifier
0904T	Ecg alg 12 ld rdcd trcg only	May bill with modifier
0905T	Ecg alg 12 ld rdcd i&r only	May bill with modifier
20550	Inj tendon sheath/ligament	May bill with modifier
20551	Inj tendon origin/insertion	May bill with modifier
20600	Drain/inj joint/bursa w/o us	May bill with modifier
20605	Drain/inj joint/bursa w/o us	May bill with modifier
20610	Drain/inj joint/bursa w/o us	May bill with modifier
36000	Place needle in vein	May bill with modifier
36140	Intro ndl icath upr/lxtr art	May bill with modifier
36400	Vnpnxr<3yrs phy/qhp fem/jug	May bill with modifier
36405	Vnpnxr<3yrs phy/qhp scalp vn	May bill with modifier
36406	Vnpnxr<3yrs phy/qhp other vn	May bill with modifier
36410	Vnpnxr 3yr/> phy/qhp dx/ther	May bill with modifier
36420	Venipuncture cutdown < 1 yr	May bill with modifier
36425	Venipuncture cutdown 1 yr/>	May bill with modifier
36430	Transfusion bld/bld compnt	May bill with modifier
36440	Bld push tfuj 2 yr/<	May bill with modifier
36591	Draw blood off venous device	Never bill together
36592	Collect blood from picc	Never bill together
36600	Withdrawal of arterial blood	May bill with modifier
36640	Insertion catheter artery	May bill with modifier
43752	Nasal/orogastric w/tube plmt	May bill with modifier
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
62320	Njx interlaminar crv/thrc	Never bill together
62321	Njx interlaminar crv/thrc	Never bill together
62322	Njx interlaminar lmbr/sac	Never bill together
62323	Njx interlaminar lmbr/sac	Never bill together
62324	Njx interlaminar crv/thrc	Never bill together
62325	Njx interlaminar crv/thrc	Never bill together
62326	Njx interlaminar lmbr/sac	Never bill together
62327	Njx interlaminar lmbr/sac	Never bill together
64400	Njx aa&/strd trigeminal nrv	Never bill together
64405	Njx aa&/strd gr ocpl nrv	Never bill together
64408	Njx aa&/strd vagus nrv	Never bill together
64415	Njx aa&/strd brch plxs img	Never bill together
64416	Njx aa&/strd brch pl nfs img	Never bill together
64417	Njx aa&/strd ax nerve img	Never bill together
64418	Njx aa&/strd sprscap nrv	Never bill together
64420	Njx aa&/strd ntrcost nrv 1	Never bill together
64421	Njx aa&/strd ntrcost nrv ea	Never bill together
64425	Njx aa&/strd ii ih nerves	Never bill together
64430	Njx aa&/strd pudendal nerve	Never bill together

Showing 50 of 151 rules. Show all

FAQ — Other procedure bundling

What is NCCI bundling and what does 'bundled' mean on a medical bill?

NCCI bundling refers to the National Correct Coding Initiative rules that prevent certain procedure codes from being billed separately when performed together. When codes are bundled, one procedure is considered inclusive of another, meaning only the primary procedure should be billed rather than charging for each component separately.

How can I identify if codes were incorrectly unbundled on my bill?

Incorrectly unbundled codes appear as separate line items on your bill when NCCI rules indicate they should be grouped together under one primary procedure code. This typically occurs with anesthesia, radiology, pathology, and miscellaneous support services that are considered integral to the main procedure being performed.

What should I do if I find unbundled charges on my medical bill?

Contact your healthcare provider's billing department to request a review of the charges and provide documentation showing the NCCI bundling rules that apply. Request an itemized explanation of why the codes were billed separately and ask for a corrected bill that reflects proper bundling if no valid modifier justification exists.

When is it legitimate to use modifiers to override NCCI bundling rules?

Modifiers are appropriately used when procedures are performed on different anatomical sites, during separate patient encounters, or when distinct procedural services are provided that don't fall under the bundling restrictions. The modifier usage must be supported by clear documentation in the medical record that demonstrates the services were truly separate and distinct from the bundled procedure.

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.