???? 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 essential for correct reimbursements. Therefore, providers often partner with billing experts to streamline financial performance.

???? What is CPT Code 91035?

The American Medical Association (AMA) establishes guidelines for billing accuracy. CPT 91035 check here applies to a gastroesophageal reflux test, popularly called website 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 review them:

• Modifier 26: Used for interpretation and report only


• Modifier TC: Reports the procedural performance aspect.


• Modifier 52: Applied when part of the procedure is omitted


• 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: Used when another physician performs the same test

⚖️ Is CPT Code 91035 Related to CPT Code 00812?

No, they are not related.
CPT 91035 reports GERD testing, while CPT 00812 is assigned for colonoscopy anesthesia billing.

???? Top CPT 91035 Coding Mistakes

1️⃣ Using the Wrong Modifier

When coders choose the wrong modifier for CPT 91035, claims may be denied. Always review payer-specific rules before submission.

2️⃣ Poor Claim Documentation

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

???? Final Thoughts

GERD is diagnosed through pH monitoring that measures acid exposure in the esophagus.
Providers submit CPT 91035 to insurers to ensure correct payment. Correct modifier usage and proper claim preparation boost claim acceptance rates.