CPT code 91060 is a code used to identify the gastric saline load test, which assesses stomach function and capacity.
CPT code 91060 is used to describe a gastric saline load test, which is a diagnostic procedure that evaluates gastric emptying and function. During this test, a saline solution is administered to the patient, and the response of the stomach is monitored to assess how well it processes and empties the liquid. This test is particularly useful in diagnosing conditions related to gastric motility disorders.
For CPT code 91060 (Gastric saline load 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 the service provided was the professional component only, such as the interpretation of the test results.
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 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician: Used when a procedure or service is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure or service.
7. Modifier 77 - Repeat Procedure by Another Physician: Used when a procedure or service is repeated by another physician or other qualified healthcare professional subsequent to the original procedure or service.
8. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Used when the same laboratory test is performed on the same patient on the same day to obtain subsequent (multiple) test results.
Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement.
The CPT code 91060 is reimbursed by Medicare, but it is essential to verify its inclusion in the Medicare Physician Fee Schedule (MPFS) to determine the specific reimbursement rate. The MPFS provides a comprehensive list of services covered by Medicare and their corresponding payment amounts. Additionally, reimbursement can vary based on the local policies of the Medicare Administrative Contractor (MAC) that services your region. Therefore, it is advisable to consult the MPFS and your regional MAC for the most accurate and up-to-date information regarding the reimbursement of CPT code 91060.
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