???? A Comprehensive Guide to CPT Code 91035

???? Understanding CPT Code 91035 for GERD Diagnosis

Introduction:

The gastroesophageal reflux test monitors acid abnormalities in the stomach.
In medical billing, CPT Code 91035 applies to the gastroesophageal reflux test. Coding precision during claim submission is critical for correct reimbursements. Therefore, clinics often partner with billing experts 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 check here to as the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Detailed reporting ensures accurate reimbursement.

???? CPT 91035 Modifier Details

Multiple modifiers can accompany CPT 91035 under specific clinical circumstances. Let’s break down them:

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

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: Reports separate, non-overlapping procedures.

Modifier 76: Applied when test is repeated on same day

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.

???? Common Mistakes to Avoid When Billing CPT Code 91035

1️⃣ Using the Wrong Modifier

Incorrect modifier selection for CPT 91035, claims may be denied. Always double-check the CPT pairing before submission.

2️⃣ Missing Details in Billing

Incomplete or incorrect details can cause reimbursement delays. Ensure completeness in every billing field, including patient info, procedure details, and modifiers

???? Conclusion

Gastroesophageal reflux disease diagnosis involves analyzing acid more info backflow with pH monitoring.
Providers bill under CPT Code 91035 to receive appropriate reimbursement. Correct modifier usage and precise billing enhance financial performance.