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Double-Charge Detector 0803T

Tcat rmv&rpl2chmb ldls pm rv — 31 bundling rules

If your bill lists 0803T alongside any of these codes as separate charges, it may be an unbundling error.

By Priya Iyengar , Senior Billing Analyst · ·
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
31 code pairs
Updated 2026-04-03
Bundling rules — 0803T
NCCI edits: these codes have billing restrictions when billed with 0803T
0803T11000Dbrdmt ecz/infected skin<10%May bill with modifier11004Dbrdmt skin xtrnl gent&perMay bill with modifier11005Dbrdmt skin abdominal wallMay bill with modifier11006Dbrdmt skin xtrnl gent perMay bill with modifier11042Dbrdmt subq tis 1st 20sqcm/<May bill with modifier11043Dbrdmt musc&/fsca 1st 20/<May bill with modifier11044Dbrdmt bone 1st 20 sq cm/<May bill with modifier35201Repair blood vessel dir neckMay bill with modifier
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 0803T

31 code pairs that have billing restrictions with this procedure.

3
Never bill together
28
May bill with modifier
Code Description Rule
11000 Dbrdmt ecz/infected skin<10% May bill with modifier
11004 Dbrdmt skin xtrnl gent&per May bill with modifier
11005 Dbrdmt skin abdominal wall May bill with modifier
11006 Dbrdmt skin xtrnl gent per May bill with modifier
11042 Dbrdmt subq tis 1st 20sqcm/< May bill with modifier
11043 Dbrdmt musc&/fsca 1st 20/< May bill with modifier
11044 Dbrdmt bone 1st 20 sq cm/< May bill with modifier
35201 Repair blood vessel dir neck May bill with modifier
35206 Repair blood vessel dir uxtr May bill with modifier
35207 Rpr bld vsl dir hand finger May bill with modifier
35211 Rpr blvsl dir ntrathrc w/byp May bill with modifier
35216 Rpr blvsl dir ntrthrc wo byp May bill with modifier
35221 Rpr bld vsl dir intra-abdl May bill with modifier
35226 Repair blood vessel dir lxtr May bill with modifier
35231 Repair blvsl vn grf neck May bill with modifier
35236 Repair blvsl vn grf uxtr May bill with modifier
35241 Rpr blvsl vn grf ntrthrc w/b May bill with modifier
35246 Rpr blvsl vn grf ntrthrc w/o May bill with modifier
35251 Rpr blvsl vn grf intra-abdl May bill with modifier
35256 Repair blvsl vn grf lxtr May bill with modifier
35261 Rpr blvsl grf oth/thn vn nck May bill with modifier
35266 Rpr blvsl grf oth/th vn uxtr May bill with modifier
35271 Rpr blvs gr ot/th vn ntrth w May bill with modifier
35276 Rpr blvs gr ot/t vn ntrth wo May bill with modifier
35281 Rpr blvsl gr ot/th vn ntr-ab May bill with modifier
35286 Rpr blvsl grf oth/th vn lxtr May bill with modifier
36591 Draw blood off venous device Never bill together
36592 Collect blood from picc Never bill together
96523 Irrig drug delivery device Never bill together
97597 Dbrdmt opn wnd 1st 20 cm/< May bill with modifier
97602 Wound(s) care non-selective May bill with modifier

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.

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