???? A Comprehensive Guide to CPT Code 91035

Introduction:

GERD diagnosis requires precise acid monitoring between stomach and esophagus.
In medical billing, CPT Code 91035 is billed for the gastroesophageal reflux test. Coding precision during claim submission is vital for correct reimbursements. Therefore, clinics often outsource medical billing to streamline cash flow.

???? What is CPT Code 91035?

The American Medical Association (AMA) sets medical coding rules for reimbursement. CPT 91035 applies to a gastroesophageal reflux test, commonly referred to as the Bravo Capsule code. This procedure monitors acid pH via mucosal-attached telemetry electrodes. Proper documentation supports payer understanding.

???? CPT 91035 Modifier Details

Several modifiers are used with CPT 91035 under specific 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: Applied when treatment stops for patient safety


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


• Modifier 76: Indicates repeated service.


• Modifier 77: Indicates separate provider involvement.

⚖️ Is CPT Code 91035 Related to CPT Code 00812?

No, they are not related.
CPT 91035 covers gastroesophageal pH monitoring, check here while CPT 00812 is assigned for colonoscopy anesthesia billing.

???? Top CPT 91035 Coding Mistakes

1️⃣ Modifier Confusion

When coders choose the wrong modifier for CPT 91035, claims may be denied. Always verify the correct modifier before submission.

2️⃣ Missing Details in Billing

Missing patient or provider information can cause reimbursement delays. Ensure accuracy in every billing field, including all claim data.

???? Final Thoughts

To detect reflux disease, doctors perform pH testing read more using telemetry electrodes.
Providers bill under CPT Code 91035 to document GERD diagnosis accurately. Correct modifier usage and precise billing optimize the revenue cycle.