Do these two codes bundle?
Paste a CPT pair. Get the NCCI Procedure-to-Procedure verdict, the modifier indicator, and the modifier path that may bypass the edit when clinically supported.
Hard bundle: cannot be unbundled
0213T is bundled into 21422 per NCCI. Modifier indicator 0.
Misuse of Column Two code with Column One code
Modifier indicator 0 means this edit cannot be bypassed under any circumstance. Do not append modifier 59 or X-modifiers. The bundled code must be written off or, if clinically inappropriate, the entire claim should be reconsidered.
What the modifier indicator means
The two codes cannot be unbundled under any circumstance. No modifier bypass is allowed. Bill only the column 1 code; write off the column 2 charge or do not submit it.
A modifier (typically 59 or an X-modifier: XE, XS, XP, XU) can bypass the edit when documentation supports a distinct, separately identifiable service. Documentation is the deciding factor.
No modifier indicator is applicable to this code pair. The pair may not require a modifier decision, or the edit was retired by CMS. Always verify against the current NCCI quarterly file.
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Put the bundling checker on your own site
Run a billing blog, an EHR site, or a coding resource? Drop in this free NCCI bundling checker so your readers can test any two CPT codes and see whether they bundle, and whether a modifier can fix it. Copy the snippet and paste it where you want the tool. It resizes itself automatically.
The widget links back to this page so readers can run more checks. As CMS updates the NCCI edits, your embed stays current with no work on your end.
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