CPT^® 99188, Under Other Medicine Services and Procedures

The Current Procedural Terminology (CPT^®) code 99188 as maintained by American Medical Association, is a medical procedural code under the range - Other Medicine Services and Procedures.

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Summary

The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.

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MODIFIERS
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Have a question about CPT Code 99188 ? Start a discussion here

Fluoride Varnish Application in 2022?

[QUOTE="ljhaley@gmail.com, post: 509877, member: 96869"] Thank you for the prompt reply! We do plan on doing them at their annual PE's. (I'm assuming we'll have to add the 25 modifier to PE to show a ... [ Read More ]

Fluoride Varnish Application in 2022?

[QUOTE="rthomas@impcna.com, post: 509556, member: 431816"] We have been doing this for several years. For commercial insurance we bill 99188 but the provider has to be the one to apply the fluoride w... [ Read More ]

Fluoride Varnish Application in 2022?

We have been doing this for several years. For commercial insurance we bill 99188 but the provider has to be the one to apply the fluoride with Z29.3 diagnosis. Majority of insurances will cover when... [ Read More ]

99188 Application of topical fluoride varnish by a physician or other qualified health care professional

Hello, Does anyone know the documentation requirements for CPT 99188 Application of topical fluoride varnish by a physician or other qualified health care professional? Thank you for any help!... [ Read More ]

Well child visit with a fluoride treatment

Hello! Just wondering if the Well Child CPT code needs a modifier attached to it when we are billing out fluoride treatments? For example: when billing 99393 with 99188. Do I need to attach a modifier... [ Read More ]

Pediatrics Well Visit Exam

[QUOTE="veloso, post: 438216, member: 69633"] Hi All, Please advise if the chart below is correct on how to bill Well Child Exam because in my understanding when the child is 1 year old could be seen ... [ Read More ]

Correct modifier for 99188

Okay, looking on their webpage, under preventive care, we find this: 99188 Provided at no cost in a non-grandfathered plan. Payable with a diagnosis code in Diagnosis List 1. Diagnosis List 1 Z00.0... [ Read More ]

Correct modifier for 99188

Our pediatric office has been submitting 99188 with a 59 modifier for almost a year. An out of area Blue Shield plan is now telling us the modifier is not valid for the CPT. Please clairfy!!... [ Read More ]

CPT 99188; billable with a preventative visit or not

[QUOTE="KolarSue, post: 445407, member: 49394"]Hello, My medical providers, in a FQHC, would like to bill for the 99188 code when the patient presents for a preventative visit. Is this something that ... [ Read More ]

CPT 99188; billable with a preventative visit or not

Hello, My medical providers, in a FQHC, would like to bill for the 99188 code when the patient presents for a preventative visit. Is this something that a medical provider can do; what are the guideli... [ Read More ]

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