Double-Charge Detector 0655T

Tprnl focal abltj mal prst8 — 56 bundling rules

If your bill lists 0655T alongside any of these codes as separate charges, it may be an unbundling error.

By Elena Vasquez , Medical Billing Research Lead · Published March 15, 2026 · Updated April 3, 2026

About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

NCCI edit data

56 code pairs

Updated 2026-04-03

Bundling rules — 0655T

NCCI edits: these codes have billing restrictions when billed with 0655T

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 0655T

56 code pairs that have billing restrictions with this procedure.

Never bill together

May bill with modifier

Code	Description	Rule
0213T	Njx paravert w/us cer/thor	Never bill together
0216T	Njx paravert w/us lumb/sac	Never bill together
0403U	Onc prst8 mrna 18 gen 1st ur	Never bill together
0424U	Onc prst8 xom alys 53 sncrna	Never bill together
0433U	Onc prst8 5 dna reg mrk pcr	Never bill together
0582T	Trurl abltj mal prst8 tiss	Never bill together
0898T	N-invas prst8 cancer est map	May bill with modifier
36591	Draw blood off venous device	Never bill together
36592	Collect blood from picc	Never bill together
51102	Drain bl w/cath insertion	May bill with modifier
51700	Irrigation of bladder	Never bill together
51721	Ins trurl ablt trnsdc thr us	Never bill together
52000	Cystourethroscopy	May bill with modifier
52001	Cysto w/irrg&evac mlt clots	May bill with modifier
52281	Cystoscopy and treatment	May bill with modifier
52441	Cystourethro w/implant	May bill with modifier
52500	Revision of bladder neck	Never bill together
52640	Relieve bladder contracture	Never bill together
53000	Incision of urethra	Never bill together
53010	Incision of urethra	Never bill together
53020	Incision of urethra	Never bill together
53025	Incision of urethra	Never bill together
53600	Dilate urethra stricture	Never bill together
53601	Dilate urethra stricture	Never bill together
53605	Dilate urethra stricture	Never bill together
53620	Dilate urethra stricture	Never bill together
53621	Dilate urethra stricture	Never bill together
53850	Prostatic microwave thermotx	Never bill together
53852	Prostatic rf thermotx	Never bill together
53855	Insert prost urethral stent	May bill with modifier
53865	Cysto insj dev ischmc rmdlg	May bill with modifier
64450	Njx aa&/strd other pn/branch	Never bill together
76376	3d render w/intrp postproces	May bill with modifier
76377	3d render w/intrp postproces	May bill with modifier
76872	Us transrectal	May bill with modifier
76873	Echograp trans r pros study	Never bill together
76940	Us guide tissue ablation	May bill with modifier
76942	Echo guide for biopsy	May bill with modifier
76998	Us guide intraop	May bill with modifier
77012	Ct scan for needle biopsy	May bill with modifier
77013	Ct guide for tissue ablation	May bill with modifier
77022	Mri gdn parnchyma tiss abltj	May bill with modifier
93318	Echo transesophageal intraop	May bill with modifier
93355	Echo transesophageal (tee)	May bill with modifier
96376	Tx/pro/dx inj same drug adon	May bill with modifier
96523	Irrig drug delivery device	Never bill together
99446	Ntrprof ph1/ntrnet/ehr 5-10	Never bill together
99447	Ntrprof ph1/ntrnet/ehr 11-20	Never bill together
99448	Ntrprof ph1/ntrnet/ehr 21-30	Never bill together
99449	Ntrprof ph1/ntrnet/ehr 31/>	Never bill together

Showing 50 of 56 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.