Does CPT 91035 need a modifier?

Some payers may require the use of modifier TC on the facility charge for 91035. TC is generally a physician service only modifier; providers are encouraged to review payer requirements at the time of benefit verification to determine if required on a case by case basis.

How do you bill for esophageal manometry?

To report esophageal manometry with high resolution esophageal pressure topography, use codes 91299. To report esophageal manometry, report 91010, 91013, as appropriate.

What is the CPT code for Bravo pH probe placement?

The Bravo capsule code, 91035 Esophagus, gastroesophageal reflux test with mucosal attached pH electrode placement, recording, analysis and interpretation, should be reported and the date Bravo capsule is removed a few days after placement.

Can you bill cardioversion with critical care?

CPT code 92960 describes a planned elective procedure. If a planned elective external cardioversion is performed by a provider/supplier reporting critical care time (CPT codes 99291, 99292), the time to perform the elective external cardioversion shall not be included in the critical care time.

Is Esophageal manometry covered by insurance?

Esophageal manometry is covered under Medicare where it is determined to be reasonable and necessary for the individual patient.

What is the CPT code for a manometry esophageal?

Esophageal Use: CPT®1 code 91010- Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report, is used to report the motility or manometric study portion of the test.

What is an endoscopy with Bravo?

Bravo esophageal pH monitoring is a minimally invasive test that evaluates whether acid from the stomach is refluxing into the esophagus and causing various symptoms. It requires attachment of a small monitoring device onto the esophageal wall during an endoscopic procedure called upper endoscopy or EGD.

How do you bill an EGD with Bravo?

EGD With Bravo CPT Code CPT 91035 can be used for bravo acid reflux. This CPT code needs to be reported with CPT 43235 and CPT 43239.