???? A Comprehensive Guide to CPT Code 91035

???? 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 is used for the gastroesophageal reflux test. Proper documentation during claim submission is critical for correct reimbursements. Therefore, clinics often delegate billing tasks to streamline the revenue cycle.

???? Definition and Explanation of CPT Code 91035

The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 reports a gastroesophageal reflux test, commonly referred to as read more check here 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 can accompany CPT 91035 under specific clinical circumstances. Let’s review them:

Modifier 26: Used for interpretation and report only

Modifier TC: Refers to the equipment and technician cost

Modifier 52: Applied when part of the procedure is omitted

Modifier 53: Used if the procedure is discontinued

Modifier 59: Reports separate, non-overlapping procedures.

Modifier 76: Applied when test is repeated on same day

Modifier 77: Reports repeat service by different provider

⚖️ Is CPT Code 91035 Related to CPT Code 00812?

CPT 91035 and CPT 00812 represent unrelated procedures.
CPT 91035 is used for reflux diagnosis, while CPT 00812 refers to anesthesia during colonoscopy

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

1️⃣ Incorrect Modifier Usage

Incorrect modifier selection for CPT 91035, claims may be denied. Always review payer-specific rules before submission.

2️⃣ Inaccurate Documentation

Improperly filled forms can result in denied payments. Ensure accuracy in every billing field, including all claim data.

???? Key Takeaway

To detect reflux disease, doctors perform pH testing using telemetry electrodes.
Providers bill under CPT Code 91035 to receive appropriate reimbursement. Correct modifier usage and proper claim preparation optimize the revenue cycle.