???? A Comprehensive Guide to CPT Code 91035

Introduction:

The gastroesophageal reflux test monitors acid abnormalities in the stomach.
In medical billing, CPT Code 91035 is billed for the gastroesophageal reflux test. Accurate coding during claim submission is critical for correct reimbursements. Therefore, healthcare organizations often outsource medical billing to streamline cash flow.

???? Understanding CPT 91035

The American Medical Association (AMA) created coding standards to simplify payments. CPT 91035 represents a gastroesophageal reflux test, commonly referred get more info to as the Bravo Capsule code. This procedure helps track acid reflux through pH monitoring. Proper documentation supports payer understanding.

???? Applicable Modifiers for CPT 91035

Multiple modifiers are used with CPT 91035 under specific clinical circumstances. Let’s go through them:

• Modifier 26: Used for interpretation and report only


• Modifier TC: Reports the procedural performance aspect.


• Modifier 52: Indicates reduced service.


• Modifier 53: Reports halted procedures.


• Modifier 59: Reports separate, non-overlapping procedures.


• Modifier 76: Applied when test is repeated on same day


• Modifier 77: Used when another physician performs the same test

⚖️ Relation Between CPT 91035 and 00812?

No, they are not here related.
CPT 91035 reports GERD testing, while CPT 00812 is assigned for colonoscopy anesthesia billing.

???? Billing Errors to Watch Out for in CPT 91035

1️⃣ Incorrect Modifier Usage

Incorrect modifier selection for CPT 91035, the reimbursement can be delayed. Always verify the correct modifier before submission.

2️⃣ Missing Details in Billing

Improperly filled forms can lead to claim rejection. Ensure clarity in every billing field, including patient info, procedure details, and modifiers

???? Final Thoughts

To detect reflux disease, doctors perform pH testing using telemetry electrodes.
Providers submit CPT 91035 to insurers to receive appropriate reimbursement. Correct modifier usage and proper claim preparation optimize the revenue cycle.