???? Understanding CPT Code 91035 for GERD Diagnosis
???? A Comprehensive Guide to 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 essential for correct reimbursements. Therefore, clinics often delegate billing tasks to streamline the revenue cycle.
???? What is CPT Code 91035?
The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 reports a gastroesophageal reflux test, popularly called website the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Comprehensive details assist in justifying claims.
???? Applicable Modifiers for CPT 91035
Multiple modifiers are used with CPT 91035 under different clinical circumstances. Let’s review them:
- Modifier 26: Used for interpretation and report only
- Modifier TC: Refers to the equipment and technician cost
- 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: Reports repeat service by different provider
⚖️ Is CPT Code 91035 Related to CPT Code 00812?
CPT 91035 and CPT 00812 represent unrelated procedures.
CPT 91035 reports GERD testing, while CPT 00812 is assigned for colonoscopy anesthesia billing.
???? Top CPT 91035 Coding Mistakes
1️⃣ Modifier Confusion
Incorrect modifier selection for CPT 91035, it could lead to billing rejections. Always double-check the CPT pairing before submission.
2️⃣ Missing Details in Billing
Improperly filled forms can lead to claim rejection. Ensure completeness in every billing field, including patient info, procedure details, and modifiers
???? Conclusion
To detect reflux disease, doctors perform pH more info testing using telemetry electrodes.
Providers bill under CPT Code 91035 to document GERD diagnosis accurately. Correct modifier usage and proper claim preparation enhance financial performance.