???? 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 partner with billing experts to streamline the revenue cycle.
???? What is CPT Code 91035?
The American Medical Association (AMA) created coding standards to simplify read more payments. CPT 91035 reports a gastroesophageal reflux test, commonly referred to website as the Bravo Capsule code. This procedure helps track acid reflux through pH monitoring. Proper documentation supports payer understanding.
???? CPT 91035 Modifier Details
Various modifiers can accompany CPT 91035 under different clinical circumstances. Let’s review them:
- Modifier 26: Bills the professional component
- Modifier TC: Covers the technical component
- Modifier 52: Used when service is partially reduced
- Modifier 53: Used if the procedure is discontinued
- Modifier 59: Indicates a distinct procedure performed the same day
- Modifier 76: Indicates repeated service.
- Modifier 77: Used when another physician performs the same test
⚖️ 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
???? Billing Errors to Watch Out for in CPT 91035
1️⃣ Modifier Confusion
If staff use modifier 77 instead of 59 for CPT 91035, claims may be denied. Always verify the correct modifier before submission.
2️⃣ Inaccurate Documentation
Improperly filled forms can cause reimbursement delays. Ensure accuracy in every billing field, including patient info, procedure details, and modifiers
???? Conclusion
To detect reflux disease, doctors perform pH testing using telemetry electrodes.
Providers use CPT 91035 for reimbursement to receive appropriate reimbursement. Correct modifier usage and precise billing boost claim acceptance rates.