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Double-Charge Detector 0235T

Trluml perip athrc visceral — 165 bundling rules

If your bill lists 0235T alongside any of these codes as separate charges, it may be an unbundling error.

By Priya Iyengar , Senior Billing Analyst · ·
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

NCCI edit data
165 code pairs
Updated 2026-04-03
Bundling rules — 0235T
NCCI edits: these codes have billing restrictions when billed with 0235T
0235T01924Anes ther interven rad artrlNever bill together01925Anes ther interven rad cardNever bill together01926Anes tx interv rad hrt/cranNever bill together0213TNjx paravert w/us cer/thorNever bill together0216TNjx paravert w/us lumb/sacNever bill together0596TTemp fml iu vlv-pmp 1st insjMay bill with modifier0597TTemp fml iu valve-pmp rplcmtMay bill with modifier0903TEcg alg 12 lead reduced i&rMay bill with modifier
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 0235T

165 code pairs that have billing restrictions with this procedure.

63
Never bill together
102
May bill with modifier
Code Description Rule
01924 Anes ther interven rad artrl Never bill together
01925 Anes ther interven rad card Never bill together
01926 Anes tx interv rad hrt/cran Never bill together
0213T Njx paravert w/us cer/thor Never bill together
0216T Njx paravert w/us lumb/sac 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
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
11000 Dbrdmt ecz/infected skin<10% May bill with modifier
11001 Dbrdmt ecz/infct skn ea addl May bill with modifier
11004 Dbrdmt skin xtrnl gent&per May bill with modifier
11005 Dbrdmt skin abdominal wall May bill with modifier
11006 Dbrdmt skin xtrnl gent per May bill with modifier
11042 Dbrdmt subq tis 1st 20sqcm/< May bill with modifier
11043 Dbrdmt musc&/fsca 1st 20/< May bill with modifier
11044 Dbrdmt bone 1st 20 sq cm/< May bill with modifier
11045 Dbrdmt subq tiss each addl May bill with modifier
11046 Dbrdmt musc&/fsca ea addl May bill with modifier
11047 Dbrdmt bone each addl May bill with modifier
34713 Perq access & clsr fem art May bill with modifier
34714 Opn fem art expos cndt crtj May bill with modifier
34715 Opn ax/subcla art expos May bill with modifier
34716 Opn ax/subcla art expos cndt May bill with modifier
34812 Opn fem art expos May bill with modifier
34820 Opn iliac art expos May bill with modifier
34833 Opn ilac art expos cndt crtj May bill with modifier
34834 Opn brach art expos May bill with modifier
35201 Repair blood vessel dir neck May bill with modifier
35206 Repair blood vessel dir uxtr May bill with modifier
35226 Repair blood vessel dir lxtr May bill with modifier
35231 Repair blvsl vn grf neck May bill with modifier
35236 Repair blvsl vn grf uxtr May bill with modifier
35256 Repair blvsl vn grf lxtr May bill with modifier
35261 Rpr blvsl grf oth/thn vn nck May bill with modifier
35266 Rpr blvsl grf oth/th vn uxtr May bill with modifier
35286 Rpr blvsl grf oth/th vn lxtr May bill with modifier
36000 Place needle in vein May bill with modifier
36002 Pseudoaneurysm injection trt May bill with modifier
36005 Injection ext venography 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
36500 Insertion of catheter vein May bill with modifier

Showing 50 of 165 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.

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