???? 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 used for the gastroesophageal reflux test. Proper documentation during claim submission is vital for correct reimbursements. Therefore, clinics often partner with billing experts to streamline financial performance.

???? What is CPT Code 91035?

The American Medical Association (AMA) sets medical coding rules for reimbursement. CPT 91035 reports a gastroesophageal reflux test, also known as the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Comprehensive details assist in justifying claims.

???? CPT 91035 Modifier Details

Various modifiers may be appended to CPT 91035 under specific clinical circumstances. Let’s review them:

• Modifier 26: Bills the professional component


• Modifier TC: Reports the procedural performance aspect.


• Modifier 52: Applied when part of the procedure is omitted


• Modifier 53: Used if the procedure is discontinued


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


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


• Modifier 77: Reports repeat service by different provider

⚖️ Is CPT Code 91035 Related to CPT Code 00812?

These codes refer to get more info different services.
CPT 91035 covers gastroesophageal pH monitoring, while CPT 00812 refers to anesthesia during colonoscopy

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

1️⃣ Using the Wrong Modifier

Incorrect modifier selection for CPT 91035, claims may be denied. Always verify the correct modifier before submission.

2️⃣ Poor Claim Documentation

Missing patient or provider information can cause reimbursement delays. Ensure accuracy in every billing field, including documentation of service level

???? Conclusion

GERD is diagnosed through pH check here monitoring that measures acid exposure in the esophagus.
Providers submit CPT 91035 to insurers to receive appropriate reimbursement. Correct modifier usage and accurate coding enhance financial performance.