99288 Direct advanced life support
What 99288 is
CMS fee schedule short descriptor: Direct advanced life support.
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 99288 (CY2026)
This code has no Physician Fee Schedule rate: Bundled - payment is always bundled into another service. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 99288 at 0 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: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 99288? These codes are bundled into it
99288 is a Column 1 code in 30 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 | |
|---|---|---|---|
0362T | Bhv id suprt assmt ea 15 min | 1 - modifier may bypass | Check pair |
0373T | Adapt bhv tx ea 15 min | 1 - modifier may bypass | Check pair |
0469T | Rta polarize scan oc scr bi | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
93792 | Pt/caregiver traing home inr | 1 - modifier may bypass | Check pair |
93793 | Anticoag mgmt pt warfarin | 0 - no modifier bypass | Check pair |
94002 | Vent mgmt inpat init day | 0 - no modifier bypass | Check pair |
94003 | Vent mgmt inpat subq day | 0 - no modifier bypass | Check pair |
94004 | Vent mgmt nf per day | 0 - no modifier bypass | Check pair |
94660 | Cpap initiation&mgmt | 0 - no modifier bypass | Check pair |
96127 | Brief emotional/behav assmt | 0 - no modifier bypass | Check pair |
96380 | Admn rsv monoc antb im cnsl | 1 - modifier may bypass | Check pair |
96381 | Admn rsv monoc antb im njx | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97151 | Bhv id assmt by phys/qhp | 1 - modifier may bypass | Check pair |
97153 | Adaptive behavior tx by tech | 1 - modifier may bypass | Check pair |
97154 | Grp adapt bhv tx by tech | 1 - modifier may bypass | Check pair |
97155 | Adapt behavior tx phys/qhp | 1 - modifier may bypass | Check pair |
97156 | Fam adapt bhv tx gdn phy/qhp | 1 - modifier may bypass | Check pair |
97157 | Mult fam adapt bhv tx gdn | 1 - modifier may bypass | Check pair |
97158 | Grp adapt bhv tx by phy/qhp | 1 - modifier may bypass | Check pair |
99091 | Collj & interpj data ea 30 d | 0 - no modifier bypass | Check pair |
99172 | Ocular function screen | 0 - no modifier bypass | Check pair |
99173 | Visual acuity screen | 1 - modifier may bypass | Check pair |
99174 | Ocular instrumnt screen bil | 1 - modifier may bypass | Check pair |
99177 | Ocular instrumnt screen bil | 1 - modifier may bypass | Check pair |
99452 | Ntrprof ph1/ntrnet/ehr rfrl | 0 - no modifier bypass | Check pair |
G0444 | Depression screen annual | 1 - modifier may bypass | Check pair |
G0473 | Group behave couns 2-10 | 1 - modifier may bypass | Check pair |
99288 is bundled into these codes
99288 appears as a Column 2 code in 128 active edits. Reported with one of these Column 1 codes on the same date of service, 99288 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0395T | Hdr elctr ntrst/ntrcv brchtx | 0 | Check pair |
0944T | 3d cntr simula trgt lvr les | 1 | Check pair |
38228 | Car-t admn autologous | 1 | Check pair |
77261 | Ther radiology tx plng smpl | 1 | Check pair |
77262 | Ther radiology tx plng intrm | 1 | Check pair |
77263 | Ther radiology tx plng cplx | 1 | Check pair |
77280 | Ther rad simulaj field smpl | 1 | Check pair |
77285 | Ther rad simulaj field intrm | 1 | Check pair |
77290 | Ther rad simulaj field cplx | 1 | Check pair |
77293 | Respirator motion mgmt simul | 1 | Check pair |
77295 | 3-d radiotherapy plan | 1 | Check pair |
77300 | Radiation therapy dose plan | 1 | Check pair |
77301 | Radiotherapy dose plan imrt | 1 | Check pair |
77306 | Telethx isodose plan simple | 1 | Check pair |
77307 | Telethx isodose plan cplx | 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.