Double-Charge Detector 0592T

Hlth&wb coaching indiv f-up — 115 bundling rules

If your bill lists 0592T alongside any of these codes as separate charges, it may be an unbundling error.

By Priya Iyengar , Senior Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

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

115 code pairs

Updated 2026-04-03

Bundling rules — 0592T

NCCI edits: these codes have billing restrictions when billed with 0592T

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 0592T

115 code pairs that have billing restrictions with this procedure.

Never bill together

May bill with modifier

Code	Description	Rule
0362T	Bhv id suprt assmt ea 15 min	May bill with modifier
0373T	Adapt bhv tx ea 15 min	May bill with modifier
0403T	Diabetes prev standard curr	May bill with modifier
0469T	Rta polarize scan oc scr bi	Never bill together
0488T	Diabetes prev online/elec	Never bill together
0591T	Hlth&wb coaching indiv 1st	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
36591	Draw blood off venous device	Never bill together
36592	Collect blood from picc	Never bill together
90839	Psytx crisis initial 60 min	May bill with modifier
90845	Psychoanalysis	May bill with modifier
92002	Intrm oph exam new patient	May bill with modifier
92004	Compre oph exam new pt 1/>	May bill with modifier
92012	Intrm oph exam est patient	May bill with modifier
92014	Compre oph exam est pt 1/>	May bill with modifier
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
93792	Pt/caregiver traing home inr	May bill with modifier
93793	Anticoag mgmt pt warfarin	Never bill together
94002	Vent mgmt inpat init day	Never bill together
94003	Vent mgmt inpat subq day	Never bill together
94004	Vent mgmt nf per day	Never bill together
94660	Pos airway pressure cpap	Never bill together
95851	Range of motion measurements	May bill with modifier
95852	Range of motion measurements	May bill with modifier
96116	Nubhvl xm phys/qhp 1st hr	May bill with modifier
96127	Brief emotional/behav assmt	Never bill together
96164	Hlth bhv ivntj grp 1st 30	Never bill together
96165	Hlth bhv ivntj grp ea addl	Never bill together
96167	Hlth bhv ivntj fam 1st 30	Never bill together
96168	Hlth bhv ivntj fam ea addl	Never bill together
96170	Hlth bhv ivntj fam wo pt 1st	Never bill together
96171	Hlth bhv ivntj fam w/o pt ea	Never bill together
96523	Irrig drug delivery device	Never bill together
97151	Bhv id assmt by phys/qhp	May bill with modifier
97153	Adaptive behavior tx by tech	May bill with modifier
97154	Grp adapt bhv tx by tech	May bill with modifier
97155	Adapt behavior tx phys/qhp	May bill with modifier
97156	Fam adapt bhv tx gdn phy/qhp	May bill with modifier
97157	Mult fam adapt bhv tx gdn	May bill with modifier
97158	Grp adapt bhv tx by phy/qhp	May bill with modifier
97161	Pt eval low complex 20 min	May bill with modifier
97162	Pt eval mod complex 30 min	May bill with modifier
97163	Pt eval high complex 45 min	May bill with modifier

Showing 50 of 115 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.