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

???? Understanding CPT Code 91035 for GERD Diagnosis

Introduction:

To diagnose GERD effectively, providers perform acid level monitoring with telemetry pH electrode placement.
In medical billing, CPT Code 91035 is used for the gastroesophageal reflux test. Coding precision during claim submission is vital for correct reimbursements. Therefore, healthcare organizations often partner with billing experts to streamline the revenue cycle.

???? What is CPT Code 91035?

The American Medical Association (AMA) created coding standards to simplify payments. CPT 91035 reports a gastroesophageal reflux test, popularly called website the Bravo Capsule code. This procedure helps track acid reflux through pH monitoring. Proper documentation supports payer understanding.

???? Applicable Modifiers for CPT 91035

Various modifiers may be appended to CPT 91035 under specific clinical circumstances. Let’s break down them:

Modifier 26: Bills the professional component

Modifier TC: Reports the procedural performance aspect.

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: Indicates repeated service.

Modifier 77: Reports repeat service by different provider

⚖️ Relation Between CPT 91035 and 00812?

CPT 91035 and CPT 00812 represent unrelated procedures.
CPT 91035 covers gastroesophageal pH monitoring, while CPT 00812 refers to anesthesia during colonoscopy

???? Top CPT 91035 Coding Mistakes

1️⃣ Modifier Confusion

When coders choose the wrong modifier for CPT 91035, the reimbursement can be delayed. Always verify the correct modifier before submission.

2️⃣ Inaccurate Documentation

Incomplete or incorrect details can result in denied payments. Ensure clarity in every billing field, including patient info, procedure details, and modifiers

???? Conclusion

GERD is diagnosed through pH monitoring that measures acid exposure in click here the esophagus.
Providers submit CPT 91035 to insurers to receive appropriate reimbursement. Correct modifier usage and accurate coding boost claim acceptance rates.