CPT Code 00860 — What It Means on Your Medical Bill
CPT code · Anesthesia · Typically billed in: Hospital or surgery center
Seeing CPT code 00860 on your medical bill?
This code is only one part of the picture — your bill, EOB, insurance adjustments, units, and other charges may affect what you actually owe. MD Bill Check reads the codes on your document, checks the bill in context, and flags items that may be worth reviewing.
Codes normally billed as one with CPT code 00860
Medicare's National Correct Coding Initiative (NCCI) publishes pairs of codes that are considered a single service when performed together. Billing them separately — "unbundling" — inflates a bill.
| Paired code | How the pair is normally treated |
|---|---|
| 36430 Procedure | Separately payable only when a modifier documents a genuinely distinct service |
| 62323 Procedure | Separately payable only when a modifier documents a genuinely distinct service |
| 93000 Cardiac test | Separately payable only when a modifier documents a genuinely distinct service |
| 93005 Cardiac test | Separately payable only when a modifier documents a genuinely distinct service |
| 93306 Imaging | Separately payable only when a modifier documents a genuinely distinct service |
| 93970 Imaging | Separately payable only when a modifier documents a genuinely distinct service |
| 95816 Diagnostic test | Not separately payable — the pair is expected to be billed as one service |
| 95819 Diagnostic test | Not separately payable — the pair is expected to be billed as one service |
These are 8 of 39 pairs recorded for CPT code 00860. Seeing one of these codes billed alongside CPT code 00860 is not proof of an error — a modifier can legitimately justify it — but it is a specific, answerable question to put to the billing office. What unbundling means, and how to raise it.
Related codes
Keep reviewing your bill
- How to Check a Medical Bill for Errors Before You Pay
- Medical Bill vs EOB: What Is the Difference?
- What Is an Itemized Medical Bill? How to Request One
- Denial and remark codes explained (CARC & RARC)
Frequently asked questions about CPT code 00860
What does CPT code 00860 mean on a medical bill?
Anesthesia for lower-abdomen and pelvic organ surgery. Bills group it under "Anesthesia", and it is typically provided in this setting: Hospital or surgery center.
Is CPT code 00860 normally billed together with other codes?
Medicare's National Correct Coding Initiative flags 39 codes that are normally billed as one service with CPT code 00860. If both appear as separate charges on your bill, it is worth asking the provider why they were billed separately.
Not sure this charge belongs on your bill?
Upload the bill — MD Bill Check reads the codes on your document, checks the bill in context, and flags items that may be worth reviewing. Free, no account needed.