???? 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 applies to the gastroesophageal reflux test. Proper documentation during claim submission is critical for correct reimbursements. Therefore, clinics often delegate billing tasks to streamline financial performance.

???? Definition and Explanation of CPT Code 91035

The American Medical Association (AMA) sets medical coding rules for reimbursement. CPT 91035 applies to a gastroesophageal reflux test, website commonly referred to as the Bravo Capsule code. This procedure monitors acid pH via mucosal-attached telemetry electrodes. Comprehensive details assist in justifying claims.

???? Modifiers for CPT Code 91035

Multiple modifiers are used with 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: Used when service is partially reduced


• 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

⚖️ Relation Between CPT 91035 and 00812?

No, they are not related.
CPT 91035 covers here gastroesophageal pH monitoring, while CPT 00812 is assigned for colonoscopy anesthesia billing.

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

1️⃣ Using the Wrong Modifier

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 Missing Details in Billing

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

???? Final Thoughts

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