Results 1 to 3 of 3

pH probe placement-endoscopic cpt 91035

  1. Default pH probe placement-endoscopic cpt 91035
    Medical Coding Books
    Has anyone coded for ph probe placement cpt 91035? It is for a reflux text via a ph electrode and includes placement,recording,analysis and interpretation. Physician also did biopsies so I can code 43239, but I'm wondering whether I can code 91035. Is this something ASC's can bill for? Perhaps it's billed with a modifier-TC? Any clarification would be great!

  2. #2
    Default ph probe
    This is the lay description:
    The physician performs a gastroesophageal reflux test using mucosal attached telemetry pH electrode placement and recording. A small capsule containing a radiotelemetry pH sensor is inserted endoscopically in the esophagus and temporarily attached to the esophageal wall. The capsule monitors esophageal pH levels over a 48-hour period. This information is transmitted to an external pager-sized receiver worn by the patient that records pH levels. After the 48-hour testing period, the data is downloaded from the receiver to a computer that contains software for analyzing pH levels. The physician provides a written interpretation of the computer analysis. The capsule does not need to be removed as it spontaneously detaches within seven to 10 days and passes through the digestive tract.

    When I did the coding for the facility, I did not code these at the time of insertion, they are inclusive to the EGD procedure. But when the patient returned to the facility to have this read, they would then order the 91035 and there wouldn't be a problem with inclusion as it was 2 days later. Not sure what the reimbursement rate was as I never saw that end of it.

    Anyone else?

  3. #3
    it does qualify for the TC modifier..I say go for it..let us know what happens

Similar Threads

  1. placement of manometry probe
    By ibtrazy2u in forum Gastroenterology
    Replies: 0
    Last Post: 04-23-2014, 10:20 AM
  2. Probe placement
    By umcanes4 in forum Gastroenterology
    Replies: 1
    Last Post: 12-18-2013, 11:13 AM
  3. ASA code for pH - I code for anesthesia
    By SHOES29 in forum Anesthesia
    Replies: 0
    Last Post: 09-18-2013, 11:42 AM
  4. 91035 - placement of Bravo by RN
    By andersee in forum Gastroenterology
    Replies: 3
    Last Post: 06-24-2012, 07:26 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.