Double-Charge Detector 0781T

Brnchsc rf dstrj pulm nrv bi — 51 bundling rules

If your bill lists 0781T alongside any of these codes as separate charges, it may be an unbundling error.

By Michael Glenn , Healthcare Data Analyst · Published March 15, 2026 · Updated April 3, 2026

About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

NCCI edit data

51 code pairs

Updated 2026-04-03

Bundling rules — 0781T

NCCI edits: these codes have billing restrictions when billed with 0781T

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 0781T

51 code pairs that have billing restrictions with this procedure.

Never bill together

May bill with modifier

Code	Description	Rule
00520	Anesth chest procedure	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
0708T	Id ca immntx prep & 1st njx	May bill with modifier
0709T	Id ca immntx each addl njx	May bill with modifier
31231	Nasal endoscopy dx	May bill with modifier
31525	Dx laryngoscopy excl nb	May bill with modifier
31526	Dx laryngoscopy w/oper scope	May bill with modifier
31535	Laryngoscopy w/biopsy	May bill with modifier
31536	Laryngoscopy w/bx & op scope	May bill with modifier
31540	Laryngoscopy w/exc of tumor	May bill with modifier
31541	Larynscop w/tumr exc + scope	May bill with modifier
31575	Diagnostic laryngoscopy	May bill with modifier
31622	Dx bronchoscope/wash	Never bill together
31630	Bronchoscopy dilate/fx repr	May bill with modifier
31631	Bronchoscopy dilate w/stent	May bill with modifier
31634	Bronch w/balloon occlusion	Never bill together
31647	Bronchial valve init insert	Never bill together
31717	Bronchial brush biopsy	May bill with modifier
31720	Clearance of airways	May bill with modifier
31725	Clearance of airways	May bill with modifier
36591	Draw blood off venous device	Never bill together
36592	Collect blood from picc	Never bill together
64451	Njx aa&/strd nrv nrvtg si jt	Never bill together
64454	Njx aa&/strd gnclr nrv brnch	Never bill together
69705	Nps surg dilat eust tube uni	May bill with modifier
69706	Nps surg dilat eust tube bi	May bill with modifier
76000	Fluoroscopy <1 hr phys/qhp	May bill with modifier
77001	Fluoroguide for vein device	May bill with modifier
77002	Needle localization by xray	May bill with modifier
89220	Sputum specimen collection	Never bill together
92511	Nasopharyngoscopy	Never bill together
93355	Echo transesophageal (tee)	May bill with modifier
96523	Irrig drug delivery device	Never bill together
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
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
99495	Transj care mgmt mod f2f 14d	May bill with modifier
99496	Transj care mgmt high f2f 7d	May bill with modifier
G0463	Hospital outpt clinic visit	May bill with modifier

Showing 50 of 51 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.