???? 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 applies to the gastroesophageal reflux test. Proper documentation during claim submission is vital for correct reimbursements. Therefore, clinics often outsource medical billing to streamline cash flow.

???? What is CPT Code 91035?

The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 applies here to a gastroesophageal reflux test, also known as the Bravo Capsule code. This procedure monitors acid pH via mucosal-attached telemetry electrodes. Proper documentation supports payer understanding.

???? Applicable Modifiers for CPT 91035

Several modifiers may be appended to CPT 91035 under different clinical circumstances. Let’s go through 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: Used if the procedure is discontinued


• Modifier 59: Used to prevent bundling errors


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


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

⚖️ Relation Between CPT 91035 and 00812?

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

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

1️⃣ Incorrect Modifier Usage

If staff use modifier 77 instead of 59 for CPT 91035, it could lead to billing rejections. Always double-check the CPT pairing before submission.

2️⃣ Poor Claim Documentation

Incomplete or incorrect details can result in denied payments. Ensure clarity in every billing field, including patient info, procedure details, and modifiers

???? Key Takeaway

To detect reflux website disease, doctors perform pH testing using telemetry electrodes.
Providers bill under CPT Code 91035 to document GERD diagnosis accurately. Correct modifier usage and precise billing enhance financial performance.