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 RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.58 | 2.60 | 0.02 | 3.20 | $106.88 |
| Facility (hospital, ASC) | 0.58 | 2.60 | 0.02 | 3.20 | $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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0312U | 1 | Check pair | |
86052 | Aquaporin-4 antb cba each | 1 | Check pair |
86362 | Mog-igg1 antb cba each | 1 | Check pair |
87265 | Pertussis ag if | 1 | Check pair |
87267 | Enterovirus antibody dfa | 1 | Check pair |
87269 | Giardia ag if | 1 | Check pair |
87270 | Chlamydia trachomatis ag if | 1 | Check pair |
87271 | Cytomegalovirus dfa | 1 | Check pair |
87272 | Cryptosporidium ag if | 1 | Check pair |
87273 | Herpes simplex 2 ag if | 1 | Check pair |
87274 | Herpes simplex 1 ag if | 1 | Check pair |
87275 | Influenza b ag if | 1 | Check pair |
87276 | Influenza a ag if | 1 | Check pair |
87278 | Legion pneumophilia ag if | 1 | Check pair |
87279 | Parainfluenza ag if | 1 | Check 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.