99188
App topical fluoride varnish
Code typePrimary
Payment statusNon-covered (N)
Global periodNone
Non-covered: Not covered by Medicare.
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary99188App topical fluoride varnish
1
$0.00
$0.00
How these numbers were computed
- status=NThis code is not separately payable under the Physician Fee Schedule (status N) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
0.20
0.20
Practice expense
0.15
0.04
Malpractice
0.01
0.01
Total RVU
0.36
0.25
Payment Policy & Modifiers
Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split