CPT code 91132 is used for electrogastrography, a test that measures electrical activity in the stomach to assess digestive function.
CPT code 91132 is used to describe the procedure of electrogastrography, which is a diagnostic test that measures the electrical activity of the stomach. This test helps healthcare providers assess gastric motility and identify any abnormalities in the stomach's function, which can be important for diagnosing conditions related to gastrointestinal disorders.
For CPT code 91132 (Electrogastrography), the following modifiers may be applicable:
1. Modifier 26 - Professional Component: This modifier is used when only the professional component of the service is being billed. It indicates that the provider is billing for the interpretation of the test results, not the technical component.
2. Modifier TC - Technical Component: This modifier is used when only the technical component of the service is being billed. It indicates that the provider is billing for the use of equipment and supplies, as well as the technician's time, but not the interpretation of the results.
3. Modifier 52 - Reduced Services: This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion. It indicates that the service provided was less than what is typically required.
4. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when a procedure or service is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure or service.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when a procedure or service is repeated by another physician or other qualified healthcare professional subsequent to the original procedure or service.
6. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is used to identify procedures/services that are not normally reported together but are appropriate under the circumstances.
7. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: This modifier is used when the same laboratory test is performed on the same patient on the same day to obtain subsequent (multiple) test results.
These modifiers help provide additional information about the service provided and ensure accurate billing and reimbursement.
CPT code 91132, Electrogastrography, is subject to reimbursement by Medicare, but it is essential to verify its status on the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on whether a specific CPT code is covered and the reimbursement rates.
Additionally, coverage and reimbursement can vary based on the policies of the Medicare Administrative Contractor (MAC) that services your region. Therefore, it is crucial to consult both the MPFS and your local MAC to determine the exact reimbursement status and any specific requirements or limitations that may apply to CPT code 91132.
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