???? Everything You Should Know About CPT Code 91035
???? 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 critical for correct reimbursements. Therefore, clinics often delegate billing tasks to streamline financial performance.
???? What is CPT Code 91035?
The American Medical Association (AMA) establishes guidelines for billing accuracy. 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
Several modifiers may be appended to CPT 91035 under specific clinical circumstances. Let’s go through them:
- Modifier 26: Used for interpretation and report only
- Modifier TC: Refers to the equipment and technician cost
- Modifier 52: Indicates reduced service.
- Modifier 53: Used if the procedure is discontinued
- Modifier 59: Indicates a distinct procedure performed the same day
- Modifier 76: Shows repeat procedure by same provider
- Modifier 77: Reports repeat service by different provider
⚖️ Difference Between CPT 91035 and 00812
No, they are not related.
CPT 91035 is used for website reflux diagnosis, while CPT 00812 is assigned for colonoscopy anesthesia billing.
???? Top CPT 91035 Coding Mistakes
1️⃣ Incorrect Modifier Usage
When coders choose the wrong modifier for CPT 91035, it could lead to billing rejections. Always verify the correct modifier before submission.
2️⃣ Poor Claim Documentation
Incomplete or incorrect details can result in denied payments. Ensure clarity in every billing field, including patient info, procedure details, and modifiers
???? Key Takeaway
Gastroesophageal reflux disease diagnosis involves analyzing acid backflow with pH more info monitoring.
Providers submit CPT 91035 to insurers to ensure correct payment. Correct modifier usage and proper claim preparation optimize the revenue cycle.