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Esophageal manometry

Sandeep Posted Tue 16th of April, 2019 02:24:01 AM
We have been told that to bill a standard esophageal manometry , we should bill 91010, 91037. In order to bill esophageal manometry with 24 hrs impedance, CPTs are 91034, 91037, 91038, 91010. Is this coding correct? Also please explain what is the meaning of impedance with reference to this test in order to understand the test well.
SuperCoder Answered Wed 17th of April, 2019 02:47:56 AM

Hi,

Thanks for the question.

  • For the basic test you should use CPT® code 91010 (Esophageal motility [manometric study of the esophagus and/or gastroesophageal junction] study with interpretation and report) and add on code +91013 (... with stimulation or perfusion …) if a stimulant was given or perfusion was performed.
  •  
  • The below list of code mentions about when the code could be used as per the duration of stay of catheter:

Use 91034, when the provider leaves the catheter in place regardless of duration of stay. If you are reporting only the professional component for the service, you should append professional component modifier 26, Professional component to the code. If you are reporting only the technical component for the service, you should append technical component modifier TC to the code unless the hospital provided the technical component. In that case, do not append modifier TC because the hospital’s portion is inherently technical. Do not append a professional or technical modifier to the code when reporting a global service in which one provider renders both the professional and technical components.

Use 91037,Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrodes placement, recording, analysis and interpretation, when the provider performs gastroesphageal reflux test to determine the back flow of acid from the stomach into the esophagus with nasal catheter intraluminal impedance electrode placement; he records and interprets the report.

Use 91038 ,Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrodes placement, recording, analysis and interpretation; prolonged, greater than one hour, up to 24 hours, when the provider performs gastroesophageal reflux test for more than one hour up to 24 hours to determine the back flow of acid from the stomach into the esophagus with nasal catheter intraluminal impedance electrode placement; he records and interprets the report.

  • Impedance electrodes refers to conductor that measures current when a certain voltage is applied to a circuit.

Hope this helps,

Thanks.

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