???? 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 applies to the gastroesophageal reflux test. Accurate coding during claim submission is essential for correct reimbursements. Therefore, clinics often partner with billing experts to streamline cash flow.

???? Definition and Explanation of CPT Code 91035

The American Medical Association (AMA) sets medical coding rules for read more reimbursement. CPT 91035 reports a gastroesophageal reflux test, popularly called the read more Bravo Capsule code. This procedure helps track acid reflux through pH monitoring. Comprehensive details assist in justifying claims.

???? Applicable Modifiers for CPT 91035

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

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


• Modifier TC: Refers to the equipment and technician cost


• Modifier 52: Used when service is partially reduced


• Modifier 53: Applied when treatment stops for patient safety


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


• Modifier 76: Applied when test is repeated on same day


• Modifier 77: Indicates separate provider involvement.

⚖️ Is CPT Code 91035 Related to CPT Code 00812?

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

???? Common Mistakes to Avoid When Billing CPT Code 91035

1️⃣ Incorrect Modifier Usage

When coders choose the wrong modifier for CPT 91035, the reimbursement can be delayed. Always double-check the CPT pairing before submission.

2️⃣ Missing Details in Billing

Missing patient or provider information can result in denied payments. Ensure clarity in every billing field, including documentation of service level

???? Final Thoughts

To detect reflux disease, doctors perform pH testing using telemetry electrodes.
Providers bill under CPT Code 91035 to ensure correct payment. Correct modifier usage and precise billing optimize the revenue cycle.