???? Everything You Should Know About CPT Code 91035

Introduction:

The gastroesophageal reflux test monitors acid abnormalities in the stomach.
In medical billing, CPT Code 91035 is used for the gastroesophageal reflux test. Accurate coding during claim submission is essential for correct reimbursements. Therefore, healthcare organizations often partner with billing experts to streamline financial performance.

???? What is CPT Code 91035?

The American Medical Association (AMA) created coding standards to simplify payments. CPT 91035 represents a gastroesophageal reflux test, also known as here the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Proper documentation supports payer understanding.

???? Applicable Modifiers for CPT 91035

Multiple modifiers may be appended to CPT 91035 under unique clinical circumstances. Let’s go through them:

• Modifier 26: Indicates the physician’s portion of service.


• Modifier TC: Reports the procedural performance aspect.


• Modifier 52: Indicates reduced service.


• Modifier 53: Applied when treatment stops for patient safety


• 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

⚖️ Relation Between CPT 91035 and 00812?

These codes refer to different services.
CPT 91035 covers gastroesophageal pH monitoring, while CPT 00812 represents anesthesia services

???? Top CPT 91035 Coding Mistakes

1️⃣ Using the Wrong Modifier

If staff use modifier 77 instead of 59 for CPT 91035, it could lead to billing rejections. Always verify the correct modifier before submission.

2️⃣ Missing Details in Billing

Incomplete or incorrect details can cause reimbursement delays. Ensure completeness in every billing field, including patient info, procedure details, and modifiers

???? Key Takeaway

Gastroesophageal reflux disease diagnosis involves analyzing check here acid backflow with pH monitoring.
Providers bill under CPT Code 91035 to receive appropriate reimbursement. Correct modifier usage and proper claim preparation optimize the revenue cycle.