???? Everything You Should Know About 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. Coding precision during claim submission is vital for correct reimbursements. Therefore, clinics often delegate billing tasks 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 gastroesophageal reflux test, popularly called the website Bravo Capsule code. This procedure uses Bravo Capsule placement to record esophageal acid exposure. Comprehensive details assist in justifying claims.

???? Modifiers for CPT Code 91035

Various modifiers can accompany CPT 91035 under unique clinical circumstances. Let’s go through them:

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


• Modifier TC: Reports the procedural performance aspect.


• Modifier 52: Indicates reduced service.


• Modifier 53: Reports halted procedures.


• Modifier 59: Reports separate, non-overlapping procedures.


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


• Modifier 77: Used when another physician performs the same test

⚖️ Is CPT Code 91035 Related to CPT Code 00812?

CPT 91035 and CPT 00812 represent unrelated procedures.
CPT 91035 covers gastroesophageal pH monitoring, while CPT 00812 represents anesthesia services

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

1️⃣ Using the Wrong Modifier

If staff use modifier 77 instead of 59 for CPT 91035, the reimbursement can be delayed. Always review payer-specific rules before submission.

2️⃣ Poor Claim Documentation

Missing patient or provider information can lead to claim rejection. Ensure clarity in every billing field, including all claim data.

???? Key Takeaway

To detect reflux disease, doctors perform pH testing more info using telemetry electrodes.
Providers submit CPT 91035 to insurers to ensure correct payment. Correct modifier usage and precise billing boost claim acceptance rates.