CPT 99358
Bundled / not separately paid
99358 · PFS Q3 2016 · Historical
Status B is not separately payable under the PFS.
Not at a published national rate. CPT 99358 carries status B (bundled) in the Q3 2016 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. Treat the blank amount as unpriced, not as $0.
PFS status evidence
Inspect PFS status evidence
- Code
- 99358
- Release
- Q3 2016, revision 1
- Result
- Bundled / not separately paid
Citations
-
Establishes the PFS status (B) and the resulting pathway for this code: bundled / not separately paid.
Physician relative value file (PPRRVU)Q3 2016 · revision 1
Latest revision of this release
Release period: July 1 – September 30, 2016
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
Record details
PPRRVU16_V0517.csv in rvu16c.zip (row 16,225)- hcpcs (col 1)
- 99358
- modifier (col 2)
- blank
- status_code (col 4)
- B
SHA-256: 81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9
Why is there no national PFS amount for 99358?
Its status indicator is B (bundled). Medicare folds payment for this code into the service it is incident to, never onto its own line. Status B is not separately payable under the PFS.
Payment considerations Copy link
Review the applicable inputs and payment rules. Each link opens the supporting detail on this page.
Other payment indicators (10)
Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.
Global period: what 99358's fee already covers Copy link
The global surgery concept does not apply to this code.
Can you bill it with another code? Copy link
Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 99358.
Common payment questions Copy link
Why would a Medicare claim for 99358 be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- Its status indicator is B (bundled)—Medicare folds payment for this code into the service it is incident to, never onto its own line. See status indicators
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
Rate history by release Copy link
National non-facility amount for 99358 across quarterly releases. -2.4% decrease since Q1 2017 · high $113.76 in Q1 2018
| Release | Status | Non-facility | Facility |
|---|---|---|---|
| Q4 2026 takes effect Oct 1, 2026 | I | — | — |
| Q3 2026 Jul 1, 2026 – Sep 30, 2026 | I | — | — |
| Q2 2026 Apr 1, 2026 – Jun 30, 2026 | I | — | — |
| Q1 2026 Jan 1, 2026 – Mar 31, 2026 | I | — | — |
| Q4 2025 Oct 1, 2025 – Dec 31, 2025 | I | — | — |
| Q3 2025 Jul 1, 2025 – Sep 30, 2025 | I | — | — |
| Q2 2025 Apr 1, 2025 – Jun 30, 2025 | I | — | — |
| Q1 2025 Jan 1, 2025 – Mar 31, 2025 | I | — | — |
| Q4 2024 Oct 1, 2024 – Dec 31, 2024 | I | — | — |
| Q3 2024 Jul 1, 2024 – Sep 30, 2024 | I | — | — |
| Q2 2024 Apr 1, 2024 – Jun 30, 2024 | I | — | — |
| Q1 2024 Mar 9, 2024 – Mar 31, 2024 | I | — | — |
| Q1 2024 Jan 1, 2024 – Mar 8, 2024 | I | — | — |
| Q4 2023 Oct 1, 2023 – Dec 31, 2023 | I | — | — |
| Q3 2023 Jul 1, 2023 – Sep 30, 2023 | I | — | — |
| Q2 2023 Apr 1, 2023 – Jun 30, 2023 | I | — | — |
| Q1 2023 Jan 1, 2023 – Mar 31, 2023 | I | — | — |
| Q4 2022 Oct 1, 2022 – Dec 31, 2022 | A | $110.74 (0.0% no change ) | $110.74 (0.0% no change ) |
| Q3 2022 Jul 1, 2022 – Sep 30, 2022 | A | $110.74 (0.0% no change ) | $110.74 (0.0% no change ) |
| Q2 2022 Apr 1, 2022 – Jun 30, 2022 | A | $110.74 (0.0% no change ) | $110.74 (0.0% no change ) |
| Q1 2022 Jan 1, 2022 – Mar 31, 2022 | A | $110.74 (-0.8% decrease ) | $110.74 (-0.8% decrease ) |
| Q4 2021 Oct 1, 2021 – Dec 31, 2021 | A | $111.66 (0.0% no change ) | $111.66 (0.0% no change ) |
| Q3 2021 Jul 1, 2021 – Sep 30, 2021 | A | $111.66 (0.0% no change ) | $111.66 (0.0% no change ) |
| Q2 2021 Apr 1, 2021 – Jun 30, 2021 | A | $111.66 (0.0% no change ) | $111.66 (0.0% no change ) |
| Q1 2021 Jan 1, 2021 – Mar 31, 2021 | A | $111.66 (-1.8% decrease ) | $111.66 (-1.8% decrease ) |
| Q4 2020 Oct 1, 2020 – Dec 31, 2020 | A | $113.68 (0.0% no change ) | $113.68 (0.0% no change ) |
| Q3 2020 Jul 1, 2020 – Sep 30, 2020 | A | $113.68 (0.0% no change ) | $113.68 (0.0% no change ) |
| Q2 2020 Apr 1, 2020 – Jun 30, 2020 | A | $113.68 (0.0% no change ) | $113.68 (0.0% no change ) |
| Q1 2020 Jan 1, 2020 – Mar 31, 2020 | A | $113.68 (+0.1% increase ) | $113.68 (+0.1% increase ) |
| Q4 2019 Oct 1, 2019 – Dec 31, 2019 | A | $113.52 (0.0% no change ) | $113.52 (0.0% no change ) |
| Q3 2019 Jul 1, 2019 – Sep 30, 2019 | A | $113.52 (0.0% no change ) | $113.52 (0.0% no change ) |
| Q2 2019 Apr 1, 2019 – Jun 30, 2019 | A | $113.52 (0.0% no change ) | $113.52 (0.0% no change ) |
| Q1 2019 Jan 1, 2019 – Mar 31, 2019 | A | $113.52 (-0.2% decrease ) | $113.52 (-0.2% decrease ) |
| Q4 2018 Oct 1, 2018 – Dec 31, 2018 | A | $113.76 (0.0% no change ) | $113.76 (0.0% no change ) |
| Q3 2018 Jul 1, 2018 – Sep 30, 2018 | A | $113.76 (0.0% no change ) | $113.76 (0.0% no change ) |
| Q2 2018 Apr 1, 2018 – Jun 30, 2018 | A | $113.76 (0.0% no change ) | $113.76 (0.0% no change ) |
| Q1 2018 Jan 1, 2018 – Mar 31, 2018 | A | $113.76 (+0.3% increase ) | $113.76 (+0.3% increase ) |
| Q4 2017 Oct 1, 2017 – Dec 31, 2017 | A | $113.41 (0.0% no change ) | $113.41 (0.0% no change ) |
| Q3 2017 Jul 1, 2017 – Sep 30, 2017 | A | $113.41 (0.0% no change ) | $113.41 (0.0% no change ) |
| Q2 2017 Apr 1, 2017 – Jun 30, 2017 | A | $113.41 (0.0% no change ) | $113.41 (0.0% no change ) |
| Q1 2017 Jan 1, 2017 – Mar 31, 2017 | A | $113.41 | $113.41 |
| Q4 2016 Oct 1, 2016 – Dec 31, 2016 | B | — | — |
| Q3 2016 Jul 1, 2016 – Sep 30, 2016 | B | — | — |
| Q2 2016 Apr 1, 2016 – Jun 30, 2016 | B | — | — |
| Q1 2016 Jan 1, 2016 – Mar 31, 2016 | B | — | — |
| Q4 2015 Oct 1, 2015 – Dec 31, 2015 | B | — | — |
| Q3 2015 Jul 1, 2015 – Sep 30, 2015 | B | — | — |
| Q2 2015 Apr 1, 2015 – Jun 30, 2015 | B | — | — |
| Q1 2015 Jan 1, 2015 – Mar 31, 2015 | B | — | — |
| Q4 2014 Oct 1, 2014 – Dec 31, 2014 | B | — | — |
| Q3 2014 Jul 1, 2014 – Sep 30, 2014 | B | — | — |
| Q2 2014 Apr 1, 2014 – Jun 30, 2014 | B | — | — |
| Q1 2013 Jan 1, 2013 – Mar 31, 2013 | B | — | — |
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
The 99358 rate last moved in Q1 2022. See its rate history.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
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Source & method
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This page uses CMS's Medicare Physician Fee Schedule Q3 2016 release (effective July 2016). National baselines use GPCI 1.000 and exclude sequestration. Status and payment instructions determine whether a national amount is established; blank RVUs stay blank. Releases are immutable: historical evidence remains tied to the specified release. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
This citation identifies the source release, so its evidence remains reproducible after a newer release lands.
CPT 99358 National PFS baseline: No national PFS rate (Q3 2016; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/99358/2016/C