Double-Charge Detector 0495T

Mntr cdvr don lng 1st 2 hrs — 45 bundling rules

If your bill lists 0495T alongside any of these codes as separate charges, it may be an unbundling error.

By Kevin Nyk , Medical Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

NCCI edit data

45 code pairs

Updated 2026-04-03

Bundling rules — 0495T

NCCI edits: these codes have billing restrictions when billed with 0495T

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 0495T

45 code pairs that have billing restrictions with this procedure.

Never bill together

May bill with modifier

Code	Description	Rule
0694T	3d vol img&rcnstj brst/ax	May bill with modifier
0781T	Brnchsc rf dstrj pulm nrv bi	May bill with modifier
0782T	Brnchsc rf dstrj plm nrv uni	May bill with modifier
31622	Dx bronchoscope/wash	May bill with modifier
31623	Dx bronchoscope/brush	May bill with modifier
31624	Dx bronchoscope/lavage	May bill with modifier
31625	Bronchoscopy w/biopsy(s)	May bill with modifier
31626	Bronchoscopy w/markers	May bill with modifier
31627	Navigational bronchoscopy	May bill with modifier
31628	Bronchoscopy/lung bx each	May bill with modifier
31629	Bronchoscopy/needle bx each	May bill with modifier
31630	Bronchoscopy dilate/fx repr	May bill with modifier
31631	Bronchoscopy dilate w/stent	May bill with modifier
31632	Bronchoscopy/lung bx addl	May bill with modifier
31633	Bronchoscopy/needle bx addl	May bill with modifier
31634	Bronch w/balloon occlusion	May bill with modifier
31635	Bronchoscopy w/fb removal	May bill with modifier
31636	Bronchoscopy bronch stents	May bill with modifier
31637	Bronchoscopy stent add-on	May bill with modifier
31638	Bronchoscopy revise stent	May bill with modifier
31640	Bronchoscopy w/tumor excise	May bill with modifier
31641	Bronchoscopy treat blockage	May bill with modifier
31643	Diag bronchoscope/catheter	May bill with modifier
31645	Brnchsc w/ther aspir 1st	May bill with modifier
31646	Brnchsc w/ther aspir sbsq	May bill with modifier
31647	Bronchial valve init insert	May bill with modifier
31648	Bronchial valve remov init	May bill with modifier
31649	Bronchial valve remov addl	May bill with modifier
31651	Bronchial valve addl insert	May bill with modifier
31652	Bronch ebus samplng 1/2 node	May bill with modifier
31653	Bronch ebus samplng 3/> node	May bill with modifier
31654	Bronch ebus ivntj perph les	May bill with modifier
36591	Draw blood off venous device	Never bill together
36592	Collect blood from picc	Never bill together
71045	X-ray exam chest 1 view	May bill with modifier
71046	X-ray exam chest 2 views	May bill with modifier
71047	X-ray exam chest 3 views	May bill with modifier
71048	X-ray exam chest 4+ views	May bill with modifier
76098	X-ray exam surgical specimen	May bill with modifier
82800	Blood ph	May bill with modifier
82803	Blood gases any combination	May bill with modifier
82805	Blood gases w/o2 saturation	May bill with modifier
82810	Blood gases o2 sat only	May bill with modifier
82820	Hemoglobin-oxygen affinity	May bill with modifier
96523	Irrig drug delivery device	Never bill together

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.