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Double-Charge Detector 0579T

Rem interrog dev icds tech — 58 bundling rules

If your bill lists 0579T alongside any of these codes as separate charges, it may be an unbundling error.

By Kevin Nyk , Medical Billing Analyst · ·
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
58 code pairs
Updated 2026-04-03
Bundling rules — 0579T
NCCI edits: these codes have billing restrictions when billed with 0579T
0579T0576TInterrog dev eval icds ss ipNever bill together0733TRem r-t mtn nrehab ther splyNever bill together0734TRem r-t mtn nrehab tx mgmtNever bill together0903TEcg alg 12 lead reduced i&rMay bill with modifier0904TEcg alg 12 ld rdcd trcg onlyMay bill with modifier0905TEcg alg 12 ld rdcd i&r onlyMay bill with modifier0921TRmvl perm ccm-d sys 1 dfb ldNever bill together33202Insert epicard eltrd openNever bill together
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 0579T

58 code pairs that have billing restrictions with this procedure.

35
Never bill together
23
May bill with modifier
Code Description Rule
0576T Interrog dev eval icds ss ip Never bill together
0733T Rem r-t mtn nrehab ther sply Never bill together
0734T Rem r-t mtn nrehab tx mgmt 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
0921T Rmvl perm ccm-d sys 1 dfb ld Never bill together
33202 Insert epicard eltrd open Never bill together
33203 Insert epicard eltrd endo Never bill together
33236 Remove electrode/thoracotomy Never bill together
33237 Remove electrode/thoracotomy Never bill together
33238 Remove electrode/thoracotomy Never bill together
33243 Remove eltrd/thoracotomy Never bill together
33250 Ablate heart dysrhythm focus Never bill together
33251 Ablate heart dysrhythm focus Never bill together
33254 Ablate atria lmtd Never bill together
33255 Ablate atria w/o bypass ext Never bill together
33256 Ablate atria w/bypass exten Never bill together
33257 Ablate atria lmtd add-on Never bill together
33258 Ablate atria x10sv add-on Never bill together
33259 Ablate atria w/bypass add-on Never bill together
33261 Ablate heart dysrhythm focus Never bill together
33265 Ablate atria lmtd endo Never bill together
33266 Ablate atria x10sv endo Never bill together
36591 Draw blood off venous device Never bill together
36592 Collect blood from picc Never bill together
93000 Electrocardiogram complete May bill with modifier
93005 Electrocardiogram tracing May bill with modifier
93010 Electrocardiogram report May bill with modifier
93040 Rhythm ecg with report May bill with modifier
93041 Rhythm ecg tracing May bill with modifier
93042 Rhythm ecg report May bill with modifier
93224 Xtrnl ecg rec up to 48 hrs May bill with modifier
93225 Xtrnl ecg rec<48 hrs rec May bill with modifier
93226 Xtrnl ecg rec<48 hr scan a/r May bill with modifier
93227 Xtrnl ecg rec<48 hr r&i May bill with modifier
93228 Remote 30 day ecg rev/report May bill with modifier
93229 Remote 30 day ecg tech supp May bill with modifier
93241 Xtrnl ecg rec>48hr<7d May bill with modifier
93242 Ext ecg>48hr<7d recording May bill with modifier
93243 Ext ecg>48hr<7d scan a/r May bill with modifier
93244 Ext ecg>48hr<7d rev&interpj May bill with modifier
93245 Ext ecg>7d<15d rec scan a/r May bill with modifier
93246 Ext ecg>7d<15d recording May bill with modifier
93247 Ext ecg>7d<15d scan a/r May bill with modifier
93248 Ext ecg>7d<15d rev&interpj May bill with modifier
93640 Ep eval 1/2chmbr pacg cvdfb Never bill together
93641 Ep evl 1/2chmb pac cvdfb tst Never bill together
96523 Irrig drug delivery device Never bill together
98975 Rem ther mntr 1st set-up&edu Never bill together

Showing 50 of 58 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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