Connj lvr algrft prfu dev 1 — 82 bundling rules
If your bill lists 0895T alongside any of these codes as separate charges, it may be an unbundling error.
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.
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 0895T
82 code pairs that have billing restrictions with this procedure.
| Code | Description | Rule |
|---|---|---|
| 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 |
| 36000 | Place needle in vein | May bill with modifier |
| 36400 | Vnpnxr<3yrs phy/qhp fem/jug | May bill with modifier |
| 36405 | Vnpnxr<3yrs phy/qhp scalp vn | May bill with modifier |
| 36406 | Vnpnxr<3yrs phy/qhp other vn | May bill with modifier |
| 36410 | Vnpnxr 3yr/> phy/qhp dx/ther | May bill with modifier |
| 36420 | Venipuncture cutdown < 1 yr | May bill with modifier |
| 36425 | Venipuncture cutdown 1 yr/> | May bill with modifier |
| 36430 | Transfusion bld/bld compnt | May bill with modifier |
| 36440 | Bld push tfuj 2 yr/< | May bill with modifier |
| 36591 | Draw blood off venous device | Never bill together |
| 36592 | Collect blood from picc | Never bill together |
| 36600 | Withdrawal of arterial blood | May bill with modifier |
| 36640 | Insertion catheter artery | May bill with modifier |
| 37140 | Revision of circulation | May bill with modifier |
| 43752 | Nasal/orogastric w/tube plmt | May bill with modifier |
| 44005 | Freeing of bowel adhesion | Never bill together |
| 44180 | Lap enterolysis | Never bill together |
| 44820 | Excision of mesentery lesion | Never bill together |
| 44850 | Repair of mesentery | Never bill together |
| 44950 | Appendectomy | Never bill together |
| 44970 | Laparoscopy appendectomy | Never bill together |
| 47000 | Needle biopsy of liver perq | May bill with modifier |
| 47001 | Ndl biopsy lvr tm oth maj px | May bill with modifier |
| 47100 | Wedge biopsy of liver | May bill with modifier |
| 47120 | Partial removal of liver | May bill with modifier |
| 47122 | Extensive removal of liver | May bill with modifier |
| 47125 | Partial removal of liver | May bill with modifier |
| 47130 | Partial removal of liver | May bill with modifier |
| 47533 | Plmt biliary drainage cath | May bill with modifier |
| 47534 | Plmt biliary drainage cath | May bill with modifier |
| 47535 | Conversion ext bil drg cath | May bill with modifier |
| 47536 | Exchange biliary drg cath | May bill with modifier |
| 47562 | Laparoscopic cholecystectomy | Never bill together |
| 47564 | Laparo cholecystectomy/explr | Never bill together |
| 47570 | Laparo cholecystoenterostomy | Never bill together |
| 47600 | Cholecystectomy | Never bill together |
| 47605 | Cholecystectomy w/cholang | Never bill together |
| 47610 | Removal of gallbladder | Never bill together |
| 47612 | Removal of gallbladder | Never bill together |
| 47620 | Removal of gallbladder | Never bill together |
| 47760 | Fuse bile ducts and bowel | Never bill together |
| 47780 | Fuse bile ducts and bowel | Never bill together |
| 47800 | Reconstruction of bile ducts | Never bill together |
| 47801 | Placement bile duct support | Never bill together |
| 49000 | Exploration of abdomen | Never bill together |
| 49002 | Reopening of abdomen | May bill with modifier |
| 49010 | Exploration behind abdomen | Never bill together |
Showing 50 of 82 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.