???? Everything You Should Know About CPT Code 91035
Introduction:
To diagnose GERD effectively, providers perform acid level monitoring with telemetry pH electrode placement.
In medical billing, CPT Code 91035 is used for the gastroesophageal reflux test. Coding precision during claim submission is critical for correct reimbursements. Therefore, healthcare organizations often outsource medical billing to streamline the revenue cycle.
???? What is CPT Code 91035?
The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 represents a gastroesophageal reflux test, popularly called the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Comprehensive details assist in justifying claims.
???? Modifiers for CPT Code 91035
Multiple modifiers can accompany CPT 91035 under different clinical circumstances. Let’s go through them:
- Modifier 26: Indicates the physician’s portion of service.
- Modifier TC: Refers to the equipment and technician cost
- Modifier 52: Applied when part of the procedure is omitted
- Modifier 53: Reports halted procedures.
- Modifier 59: Indicates a distinct procedure performed the same day
- Modifier 76: Applied when test is repeated on same day
- Modifier 77: Indicates separate provider involvement.
⚖️ Is CPT Code 91035 Related to CPT Code 00812?
No, they are not related.
CPT 91035 is used for reflux diagnosis, while CPT 00812 represents anesthesia services
???? Top CPT 91035 Coding Mistakes
1️⃣ Incorrect Modifier Usage
If staff use modifier 77 instead of 59 for CPT 91035, the reimbursement can be delayed. Always double-check the CPT pairing before submission.
2️⃣ Missing Details in Billing
Missing patient or provider information can result in denied payments. Ensure completeness in every billing field, including all claim data.
???? Key Takeaway
GERD is diagnosed through click here pH monitoring that measures acid exposure in more info the esophagus.
Providers bill under CPT Code 91035 to ensure correct payment. Correct modifier usage and accurate coding enhance financial performance.