Double-Charge Detector 0923T

Rmvl&rplcmt perm ccm-d pg — 100 bundling rules

If your bill lists 0923T 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

100 code pairs

Updated 2026-04-03

Bundling rules — 0923T

NCCI edits: these codes have billing restrictions when billed with 0923T

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 0923T

100 code pairs that have billing restrictions with this procedure.

Never bill together

May bill with modifier

Code	Description	Rule
00530	Anesth pacemaker insertion	Never bill together
00534	Anesth cardioverter/defib	Never bill together
0213T	Njx paravert w/us cer/thor	Never bill together
0216T	Njx paravert w/us lumb/sac	Never bill together
0409T	Insj/rplc car modulj pls gn	Never bill together
0412T	Rmvl cardiac modulj pls gen	Never bill together
0415T	Repos car modulj tranvns elt	May bill with modifier
0416T	Reloc skin pocket pls gen	May bill with modifier
0417T	Prgrmg eval cardiac modulj	Never bill together
0418T	Interro eval cardiac modulj	Never bill together
0575T	Prgrmg dev eval icds ss ip	Never bill together
0576T	Interrog dev eval icds ss ip	Never bill together
0919T	Rmvl perm ccm-d sys pg only	Never bill together
0925T	Rlcj skin pocket ccm-d pg	Never bill together
0926T	Prgrmg dev eval ccm-d ip	Never bill together
0927T	Interrog dev eval ccm-d ip	Never bill together
93452	Left hrt cath w/ventrclgrphy	Never bill together
93453	R&l hrt cath w/ventriclgrphy	Never bill together
93458	L hrt artery/ventricle angio	Never bill together
93459	L hrt art/grft angio	Never bill together
93460	R&l hrt art/ventricle angio	Never bill together
93461	R&l hrt art/ventricle angio	Never bill together
93595	L hrt cath chd nm/abn nt cnj	Never bill together
93600	Bundle of his recording	Never bill together
93602	Intra-atrial recording	Never bill together
93603	Right ventricular recording	Never bill together
93610	Intra-atrial pacing	Never bill together
93612	Intraventricular pacing	Never bill together
94002	Vent mgmt inpat init day	May bill with modifier
94200	Lung function test (mbc/mvv)	May bill with modifier
94680	Exhaled air analysis o2	May bill with modifier
94681	O2 uptk exp gas alys w/co2	May bill with modifier
94690	O2 uptk exp gas alys rest	May bill with modifier
95812	Eeg 41-60 minutes	May bill with modifier
95813	Eeg extnd mntr 61-119 min	May bill with modifier
95816	Eeg awake and drowsy	May bill with modifier
95819	Eeg awake and asleep	May bill with modifier
95822	Eeg coma or sleep only	May bill with modifier
95829	Surgery electrocorticogram	May bill with modifier
95955	Eeg during surgery	May bill with modifier
96360	Hydration iv infusion init	May bill with modifier
96365	Ther/proph/diag iv inf init	May bill with modifier
96372	Ther/proph/diag inj sc/im	May bill with modifier
96374	Ther/proph/diag inj iv push	May bill with modifier
96377	Applicaton on-body injector	May bill with modifier
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
99155	Mod sed oth phys/qhp <5 yrs	Never bill together
99156	Mod sed oth phys/qhp 5/>yrs	Never bill together

Showing 50 of 100 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.