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.

Nov 10, 2025 · These three services will be reimbursed as an all-inclusive service billed using CPT code 99188 and ICD-10 code Z41.8 and can be provided up to four (4) times a year. This …

Fluoride varnish by medical providers for children ages 6 months through 5 years (to the 6th birthday) is a Level B recommendation. Use CPT 99188 with a modifier 33 for billing private …

Fluoride varnish application should be reported on a claim using CPT code 99188. ICD-10 code Z29.3 should accompany 99188. Payment may be made not more frequently than once per …

Clinics and facilities may bill utilizing code 99188. It is recommended the fluoride varnish be applied at the time of a well child visit / Health Tracks screening.

The codes CDT D1206, CPT 99188 and ICD-10 (International Classification of Diseases, 10th Revision) diagnosis code, Z29.3, were pulled from Epic’s enterprise Data Warehouse.

CPT code 99188 is used when a healthcare provider applies topical fluoride varnish as part of a preventive dental care regimen. This code should be utilized in conjunction with other dental …

To view the AAP Billing and Coding Fact Sheet, please click here. Funding for this project was made possible by the Office of Health Promotion, through the Illinois Department of Public …

Mar 30, 2016 · The correct diagnosis code is Z41.8 (Encounter for other procedures for purposes other than remedying health state) and not Z48.1 (Encounter for planned postprocedural …

Fluoride varnish, including a dental risk assessment, the application, and a dental referral, will be reimbursed as an all-inclusive service billed using the new CPT® code 99188 and ICD-10-CM …