Perq tcat us abltj nrv p-art — 359 bundling rules
If your bill lists 0632T alongside any of these codes as separate charges, it may be an unbundling error.
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.
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 0632T
359 code pairs that have billing restrictions with this procedure.
| Code | Description | Rule |
|---|---|---|
| 01916 | Anesth dx arteriography | Never bill together |
| 01920 | Anesth catheterize heart | Never bill together |
| 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 |
| 0333T | Visual ep scr acuity auto | Never bill together |
| 0464T | Visual ep test for glaucoma | Never bill together |
| 0569T | Ttvr perq appr 1st prosth | May bill with modifier |
| 0570T | Ttvr perq ea addl prosth | May bill with modifier |
| 0646T | Ttvi/rplcmt w/prstc vlv perq | May bill with modifier |
| 0708T | Id ca immntx prep & 1st njx | May bill with modifier |
| 0709T | Id ca immntx each addl njx | 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 |
| 0921T | Rmvl perm ccm-d sys 1 dfb ld | May bill with modifier |
| 12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | May bill with modifier |
| 12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | May bill with modifier |
| 12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | May bill with modifier |
| 12005 | Rpr s/n/a/gen/trk12.6-20.0cm | May bill with modifier |
| 12006 | Rpr s/n/a/gen/trk20.1-30.0cm | May bill with modifier |
| 12007 | Rpr s/n/ax/gen/trnk >30.0 cm | May bill with modifier |
| 12011 | Rpr f/e/e/n/l/m 2.5 cm/< | May bill with modifier |
| 12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | May bill with modifier |
| 12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | May bill with modifier |
| 12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | May bill with modifier |
| 12016 | Rpr fe/e/en/l/m 12.6-20.0 cm | May bill with modifier |
| 12017 | Rpr fe/e/en/l/m 20.1-30.0 cm | May bill with modifier |
| 12018 | Rpr f/e/e/n/l/m >30.0 cm | May bill with modifier |
| 12020 | Tx supfc wnd dehsn smpl clsr | May bill with modifier |
| 12021 | Tx supfc wnd dehsn w/packing | May bill with modifier |
| 12031 | Intmd rpr s/a/t/ext 2.5 cm/< | May bill with modifier |
| 12032 | Intmd rpr s/a/t/ext 2.6-7.5 | May bill with modifier |
| 12034 | Intmd rpr s/tr/ext 7.6-12.5 | May bill with modifier |
| 12035 | Intmd rpr s/a/t/ext 12.6-20 | May bill with modifier |
| 12036 | Intmd rpr s/a/t/ext 20.1-30 | May bill with modifier |
| 12037 | Intmd rpr s/tr/ext >30.0 cm | May bill with modifier |
| 12041 | Intmd rpr n-hf/genit 2.5cm/< | May bill with modifier |
| 12042 | Intmd rpr n-hf/genit2.6-7.5 | May bill with modifier |
| 12044 | Intmd rpr n-hf/genit7.6-12.5 | May bill with modifier |
| 12045 | Intmd rpr n-hf/genit12.6-20 | May bill with modifier |
| 12046 | Intmd rpr n-hf/genit20.1-30 | May bill with modifier |
| 12047 | Intmd rpr n-hf/genit >30.0cm | May bill with modifier |
| 12051 | Intmd rpr face/mm 2.5 cm/< | May bill with modifier |
| 12052 | Intmd rpr face/mm 2.6-5.0 cm | May bill with modifier |
| 12053 | Intmd rpr face/mm 5.1-7.5 cm | May bill with modifier |
| 12054 | Intmd rpr face/mm 7.6-12.5cm | May bill with modifier |
| 12055 | Intmd rpr face/mm 12.6-20 cm | May bill with modifier |
Showing 50 of 359 rules. Show all
FAQ — Other procedure bundling
What is NCCI bundling and what does 'bundled' mean on a medical bill?
How can I identify if codes were incorrectly unbundled on my bill?
What should I do if I find unbundled charges on my medical bill?
When is it legitimate to use modifiers to override NCCI bundling rules?
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.