???? A Comprehensive Guide to CPT Code 91035

Introduction:

To diagnose GERD effectively, providers perform acid level monitoring with telemetry pH electrode placement.
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 partner with billing experts to streamline financial performance.

???? What is CPT Code 91035?

The American Medical Association (AMA) created coding standards to simplify payments. CPT 91035 applies to a gastroesophageal reflux test, commonly referred to as the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Proper documentation supports payer understanding.

???? Modifiers for CPT Code 91035

Various modifiers are used with CPT 91035 under different clinical circumstances. Let’s go through them:

• Modifier 26: Used for interpretation and report only


• Modifier TC: Covers the technical component


• Modifier 52: Indicates reduced service.


• Modifier 53: Applied when treatment stops for patient safety


• Modifier 59: Indicates a distinct procedure performed the same day


• Modifier 76: Indicates repeated service.


• Modifier 77: Reports repeat service by different provider

⚖️ Difference Between CPT 91035 and 00812

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

???? 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

Missing patient or provider information can lead to claim rejection. Ensure clarity in every billing field, including all claim data.

???? Key Takeaway

To detect reflux disease, doctors perform more info pH testing using telemetry electrodes.
Providers submit CPT 91035 to insurers to ensure correct payment. Correct modifier usage and accurate coding boost claim acceptance rates.