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Double-Charge Detector 0895T

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.

By Michael Glenn , Healthcare Data Analyst · ·
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
82 code pairs
Updated 2026-04-03
Bundling rules — 0895T
NCCI edits: these codes have billing restrictions when billed with 0895T
0895T0903TEcg alg 12 lead reduced i&rMay bill with modifier0904TEcg alg 12 ld rdcd trcg onlyMay bill with modifier0905TEcg alg 12 ld rdcd i&r onlyMay bill with modifier36000Place needle in veinMay bill with modifier36400Vnpnxr<3yrs phy/qhp fem/jugMay bill with modifier36405Vnpnxr<3yrs phy/qhp scalp vnMay bill with modifier36406Vnpnxr<3yrs phy/qhp other vnMay bill with modifier36410Vnpnxr 3yr/> phy/qhp dx/therMay 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 0895T

82 code pairs that have billing restrictions with this procedure.

28
Never bill together
54
May bill with modifier
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?
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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