???? 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. Proper documentation during claim submission is critical for correct reimbursements. Therefore, clinics often partner with billing experts to streamline the revenue cycle.

???? What is CPT Code 91035?

The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 applies to a website gastroesophageal reflux test, also known as the Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Comprehensive details assist in justifying claims.

???? Applicable Modifiers for CPT 91035

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

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


• Modifier TC: Covers the technical component


• 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: Indicates separate provider involvement.

⚖️ Relation Between CPT 91035 and 00812?

These codes refer to different read more services.
CPT 91035 reports GERD testing, while CPT 00812 is assigned for colonoscopy anesthesia billing.

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

1️⃣ Incorrect Modifier Usage

Incorrect modifier selection for CPT 91035, the reimbursement can be delayed. Always verify the correct modifier before submission.

2️⃣ Poor Claim Documentation

Missing patient or provider information can lead to claim rejection. Ensure completeness in every billing field, including documentation of service level

???? Final Thoughts

Gastroesophageal reflux disease diagnosis involves analyzing acid backflow with pH monitoring.
Providers submit CPT 91035 to insurers to receive appropriate reimbursement. Correct modifier usage and proper claim preparation boost claim acceptance rates.