CPT code 91032 is a medical billing code used for an esophagus acid reflux test, helping healthcare providers document and bill for this procedure.
CPT code 91032 is a procedure used to measure the acidity levels in the esophagus over a specified period. This test helps healthcare providers diagnose conditions related to acid reflux, such as gastroesophageal reflux disease (GERD). By monitoring the pH levels, clinicians can assess how often and for how long acid from the stomach enters the esophagus, aiding in the development of appropriate treatment plans for patients experiencing symptoms of acid reflux.
For CPT code 91032, which pertains to the esophagus acid reflux test, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Used when the work required to provide a service is substantially greater than typically required.
2. Modifier 26 - Professional Component: Indicates that only the professional component of the service was provided.
3. Modifier 52 - Reduced Services: Used when a service or procedure is partially reduced or eliminated at the physician's discretion.
4. Modifier 53 - Discontinued Procedure: Used when a procedure is discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
5. Modifier 76 - Repeat Procedure by Same Physician: Used when the same procedure is repeated by the same physician.
6. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is repeated by another physician.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Indicates an unplanned return to the operating room for a related procedure during the postoperative period.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure or service is performed by the same physician during the postoperative period.
9. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Used when the same laboratory test is performed on the same day to obtain subsequent (multiple) test results.
10. Modifier 99 - Multiple Modifiers: Used when two or more modifiers are necessary to describe the service.
These modifiers help provide additional information about the circumstances under which the esophagus acid reflux test was performed, ensuring accurate billing and reimbursement.
CPT code 91032 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS) and is eligible for payment. However, coverage and reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. Healthcare providers should consult their local MAC for specific coverage guidelines and documentation requirements related to CPT 91032.
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