???? Everything You Should Know About 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 critical for correct reimbursements. Therefore, clinics often outsource medical billing to streamline financial performance.

???? What is CPT Code 91035?

The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 reports a gastroesophageal reflux test, commonly referred to as get more info the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Proper documentation supports payer understanding.

???? Applicable Modifiers for CPT 91035

Several modifiers can accompany CPT 91035 under specific clinical circumstances. Let’s go through them:

• Modifier 26: Indicates the physician’s portion of service.


• Modifier TC: Covers the technical component


• Modifier 52: Indicates reduced service.


• Modifier 53: Reports halted procedures.


• Modifier 59: Used to prevent bundling errors


• Modifier 76: Shows repeat procedure by same provider


• Modifier 77: Indicates separate provider involvement.

⚖️ Relation Between CPT 91035 and 00812?

CPT 91035 and CPT 00812 represent unrelated procedures.
CPT 91035 reports GERD testing, while CPT 00812 is assigned for colonoscopy anesthesia billing.

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

1️⃣ Modifier Confusion

When coders choose the wrong modifier for CPT 91035, claims may be denied. Always double-check the CPT pairing before submission.

2️⃣ Inaccurate Documentation

Improperly filled forms can result in denied payments. Ensure accuracy in every billing field, including documentation of service level

???? Key Takeaway

To detect reflux disease, doctors perform pH website testing using telemetry electrodes.
Providers submit CPT 91035 to insurers to document GERD diagnosis accurately. Correct modifier usage and accurate coding optimize the revenue cycle.