Therapeutic ultrafiltration — 62 bundling rules
If your bill lists 0692T 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 0692T
62 code pairs that have billing restrictions with this procedure.
| Code | Description | Rule |
|---|---|---|
| 0342T | Thxp apheresis w/hdl delip | Never bill together |
| 0596T | Temp fml iu vlv-pmp 1st insj | May bill with modifier |
| 0597T | Temp fml iu valve-pmp rplcmt | May bill with modifier |
| 36516 | Apheresis immunoads slctv | Never bill together |
| 36591 | Draw blood off venous device | Never bill together |
| 36592 | Collect blood from picc | Never bill together |
| 38225 | Car-t hrv bld-drv t lymphcyt | Never bill together |
| 64451 | Njx aa&/strd nrv nrvtg si jt | Never bill together |
| 64454 | Njx aa&/strd gnclr nrv brnch | Never bill together |
| 93355 | Echo transesophageal (tee) | May bill with modifier |
| 96523 | Irrig drug delivery device | Never bill together |
| 99202 | Office o/p new sf 15 min | May bill with modifier |
| 99203 | Office o/p new low 30 min | May bill with modifier |
| 99204 | Office o/p new mod 45 min | May bill with modifier |
| 99205 | Office o/p new hi 60 min | May bill with modifier |
| 99281 | Emr dpt vst mayx req phy/qhp | May bill with modifier |
| 99282 | Emergency dept visit sf mdm | May bill with modifier |
| 99283 | Emergency dept visit low mdm | May bill with modifier |
| 99284 | Emergency dept visit mod mdm | May bill with modifier |
| 99285 | Emergency dept visit hi mdm | May bill with modifier |
| 99304 | 1st nf care sf/low mdm 25 | May bill with modifier |
| 99305 | 1st nf care moderate mdm 35 | May bill with modifier |
| 99306 | 1st nf care high mdm 50 | May bill with modifier |
| 99307 | Sbsq nf care sf mdm 10 | May bill with modifier |
| 99308 | Sbsq nf care low mdm 20 | May bill with modifier |
| 99309 | Sbsq nf care moderate mdm 30 | May bill with modifier |
| 99310 | Sbsq nf care high mdm 45 | May bill with modifier |
| 99341 | Home/res vst new sf mdm 15 | May bill with modifier |
| 99342 | Home/res vst new low mdm 30 | May bill with modifier |
| 99344 | Home/res vst new mod mdm 60 | May bill with modifier |
| 99345 | Home/res vst new high mdm 75 | May bill with modifier |
| 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 |
| 99451 | Ntrprof ph1/ntrnet/ehr 5/> | Never bill together |
| 99452 | Ntrprof ph1/ntrnet/ehr rfrl | Never bill together |
| 99466 | Ped crit care transport | May bill with modifier |
| 99468 | Neonate crit care initial | May bill with modifier |
| 99469 | Neonate crit care subsq | May bill with modifier |
| 99471 | Ped critical care initial | May bill with modifier |
| 99472 | Ped critical care subsq | May bill with modifier |
| 99475 | Ped crit care age 2-5 init | May bill with modifier |
| 99476 | Ped crit care age 2-5 subsq | May bill with modifier |
| 99477 | Init day hosp neonate care | May bill with modifier |
| 99478 | Ic lbw inf < 1500 gm subsq | May bill with modifier |
| 99479 | Ic lbw inf 1500-2500 g subsq | May bill with modifier |
| 99480 | Ic inf pbw 2501-5000 g subsq | May bill with modifier |
| 99483 | Assmt & care pln pt cog imp | May bill with modifier |
| 99485 | Suprv interfacilty transport | May bill with modifier |
Showing 50 of 62 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.