???? Everything You Should Know About CPT Code 91035
???? Understanding CPT Code 91035 for GERD Diagnosis
Introduction:
GERD diagnosis requires precise acid monitoring between stomach and esophagus.
In medical billing, CPT Code 91035 applies to the gastroesophageal reflux test. Proper documentation during claim submission is essential for correct reimbursements. Therefore, providers often partner with billing experts to streamline the revenue cycle.
???? What is CPT Code 91035?
The American Medical Association (AMA) sets medical coding rules for reimbursement. CPT 91035 applies to a gastroesophageal reflux test, also known as the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Detailed reporting ensures accurate reimbursement.
???? Applicable Modifiers for CPT 91035
Various modifiers can accompany CPT 91035 under different clinical circumstances. Let’s review them:
- Modifier 26: Indicates the physician’s portion of service.
- Modifier TC: Covers the technical component
- Modifier 52: Used when service is partially reduced
- Modifier 53: Applied when treatment stops for patient safety
- Modifier 59: Used to prevent bundling errors
- 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 reports GERD testing, while CPT 00812 refers to anesthesia during colonoscopy
???? Billing Errors to Watch Out for in CPT 91035
1️⃣ Using the Wrong Modifier
When coders choose the wrong modifier for CPT 91035, the reimbursement can be delayed. Always double-check the CPT pairing before submission.
2️⃣ Poor Claim Documentation
Improperly filled forms can cause reimbursement delays. Ensure accuracy in every billing field, including patient info, procedure details, and modifiers
???? Conclusion
GERD check here is diagnosed through pH check here monitoring that measures acid exposure in the esophagus.
Providers bill under CPT Code 91035 to ensure correct payment. Correct modifier usage and proper claim preparation enhance financial performance.