???? Everything You Should Know About CPT Code 91035

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 essential for correct reimbursements. Therefore, healthcare organizations often outsource medical billing 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, commonly get more info referred to as the Bravo Capsule code. This procedure monitors acid pH via mucosal-attached telemetry electrodes. Proper documentation supports payer understanding.

???? Applicable Modifiers for CPT 91035

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

• Modifier 26: Bills the professional component


• Modifier TC: Covers the technical component


• Modifier 52: Indicates reduced service.


• Modifier 53: Applied when treatment stops for patient safety


• Modifier 59: Used to prevent bundling errors


• Modifier 76: Indicates repeated service.


• Modifier 77: Indicates separate provider involvement.

⚖️ Difference Between CPT 91035 and 00812

These codes refer to different services.
CPT 91035 is used for reflux diagnosis, while CPT 00812 is assigned for colonoscopy anesthesia billing.

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

1️⃣ Using the Wrong Modifier

If staff use modifier 77 instead of 59 for CPT 91035, it could lead to billing rejections. Always double-check the CPT pairing before submission.

2️⃣ Inaccurate Documentation

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

???? Key Takeaway

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