???? 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. Coding precision during claim submission is essential for correct reimbursements. Therefore, healthcare organizations often outsource medical billing to streamline the revenue cycle.

???? Understanding CPT 91035

The American Medical Association (AMA) created coding standards to simplify payments. CPT 91035 represents a gastroesophageal reflux test, check here commonly referred to as the Bravo Capsule code. This procedure helps track acid reflux through pH monitoring. Detailed reporting ensures accurate reimbursement.

???? CPT 91035 Modifier Details

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

• Modifier 26: Bills the professional component


• Modifier TC: Covers the technical component


• Modifier 52: Indicates reduced service.


• Modifier 53: Applied when treatment stops for patient safety


• Modifier 59: Used to prevent bundling errors


• 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?

No, they are not related.
CPT 91035 reports here GERD testing, 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 double-check the CPT pairing before submission.

2️⃣ Inaccurate Documentation

Incomplete or incorrect details can cause reimbursement delays. Ensure completeness in every billing field, including documentation of service level

???? Key Takeaway

Gastroesophageal reflux disease diagnosis involves analyzing acid backflow with pH monitoring.
Providers use CPT 91035 for reimbursement to document GERD diagnosis accurately. Correct modifier usage and accurate coding boost claim acceptance rates.