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88350 Imfluor ea addl 1antb stn px

What 88350 is

CMS fee schedule short descriptor: Imfluor ea addl 1antb stn px.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 88350 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.582.600.023.20$106.88
Facility (hospital, ASC)0.582.600.023.20$106.88

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.

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Medically Unlikely Edit (MUE)

Medicare caps 88350 at 9 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 88350? These codes are bundled into it

88350 is a Column 1 code in 1 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
96523Irrig drug delivery device0 - no modifier bypassCheck pair

88350 is bundled into these codes

88350 appears as a Column 2 code in 51 active edits. Reported with one of these Column 1 codes on the same date of service, 88350 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0312U1Check pair
86052Aquaporin-4 antb cba each1Check pair
86362Mog-igg1 antb cba each1Check pair
87265Pertussis ag if1Check pair
87267Enterovirus antibody dfa1Check pair
87269Giardia ag if1Check pair
87270Chlamydia trachomatis ag if1Check pair
87271Cytomegalovirus dfa1Check pair
87272Cryptosporidium ag if1Check pair
87273Herpes simplex 2 ag if1Check pair
87274Herpes simplex 1 ag if1Check pair
87275Influenza b ag if1Check pair
87276Influenza a ag if1Check pair
87278Legion pneumophilia ag if1Check pair
87279Parainfluenza ag if1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.