CPT^® 91038, Under Gastroesophageal Reflux Test Studies

The Current Procedural Terminology (CPT^®) code 91038 as maintained by American Medical Association, is a medical procedural code under the range - Gastroesophageal Reflux Test Studies.

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Summary

The provider performs gastroesophageal reflux test to determine the backflow of acid from the stomach into the esophagus with a nasal catheter intraluminal impedance electrode placement for more than 1 hour and up to 24 hours. A computer records the data, which the provider interprets and prepares a written report.

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DOS for 91038

There is very little guidance out there to address your question. So, in this case, I fall back on CPT / payer precedence. CPT code 91038 is for [I]Esophageal function test, gastroesophageal reflux ... [ Read More ]

DOS for 91038 91038 ph probe

I have gotten some conflicting answers on this, so I'm hoping some one can provide me with an authoritative reference for determining the DOS for 91038 when performed in the office. I thought it shou... [ Read More ]

PH and Impedence Study

[QUOTE="meg0630, post: 362494, member: 203053"]I am 99% sure I have been billing this correct all along, but I have a physician that is suggesting I should be coding the procedures differently.:rolley... [ Read More ]

Incomplete pH study?

Below is a pH study; data is documented as incomplete as patient pulled the probe after only 13 hours. Wondering if the 91038 needs a modifier for an incomplete procedure? Repeat study is advised. ... [ Read More ]

91038 Esophageal function test

Hello, We billed a Medicare Advantage carrier for an Esophageal Funtion Test 91038 with a diagnosis of 783.21 (loss of weight). The claim denied as a non-medically necessary diagnosis. The carrier s... [ Read More ]

91034 or 91037/38?

I am having trouble differentiating between 91034/26 or the esophageal Function Tests 91037/26 or 91038/26. Is there even the possibility of doing the 26 modifier on the 91037/38? What ques should I ... [ Read More ]

LPR PH Testing-Urgent Help

Good Afternoon, I urgently need assistance. My physician is having a meeting with representatives from Restech regarding laryngopharyngeal ph monitoring. The reps have told the physician that the cod... [ Read More ]

24 Hour pH study DOS billing?

You would bill on the date the catheter is removed and the interpretation done. Also, 91038 is for esophageal manometry - if this is just a 24 hour catheter based pH test you would use 91034 instead.... [ Read More ]

24 Hour pH study DOS billing?

when a nasal catheter is placed for a 24 hour study, the patient comes in the next day to have it removed and the analysis and interp, what date of service do i use for the 91038?... [ Read More ]

HRM & Impedance coding question

Givens rep is telling us we should be coding for the HRM 91010 & 91037 on one day then code for the 24-hr impedance 91038 on the next day. The reasoning is that the two catheters are measuring two dif... [ Read More ]

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