CPT^® 91065, Under Esophageal Balloon Distension Study and Breath Test

The Current Procedural Terminology (CPT^®) code 91065 as maintained by American Medical Association, is a medical procedural code under the range - Esophageal Balloon Distension Study and Breath Test.

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Summary

A hydrogen or methane breath test is a diagnostic procedure to find problems related to gastric functionality such as lactose deficiency, fructose intolerance, bacterial overgrowth, and oro–cecal gastrointestinal transit time. The concept behind hydrogen or methane breath testing is to measure the hydrogen or methane levels in the expelled breath. The test is noninvasive and is, therefore, readily tolerated by patients. A prior requirement for a hydrogen or methane breath test is fasting, e.g., 8–12 hours, before the procedure.

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91065-26

Is anyone having issues with insurance companies paying for the reading of urea breath tests? We are getting denials from UPMC stating there is a better code to bill for the reading. I THINK they ar... [ Read More ]

91065 W/ Modifier 52 91065 hbt mod 52

Does anyone know the requirements for 91065 (HBT) to be eligible to be billed with a 52 modifier. What if pt leaves before the end?... Example pt leaves after 30mins, 120 mins , or pt is not able to s... [ Read More ]

91065

Getting denials from Medicare for Breath testing SIBO/lactose/fructose. What are the code requirements for payment?... [ Read More ]

Gastoparesis

[QUOTE="corrinn7, post: 397799, member: 218233"]Company created a 4hr breath test for grastic emptying. How would this be coded? It is not radiology. The physicians are not billing code because they c... [ Read More ]

H.Pylori Breath test CPT Coding Help!!!

[b]CPT code for H. pylori breath test[/b] [QUOTE="Rlynn866, post: 139767, member: 3905"]What is the correct cpt code to use for H. Pylori breath test analysis in a situation where the hystology lab i... [ Read More ]

91035 & 43239

I believe you should be able to bill these two procedures together. The TC/26 modifiers are applicable for 91065 if needed, but I don't believe a multiple procedure modifier is needed for 91035 and ... [ Read More ]

91065 Breath Hydrogen Test

Medicare does not like 787.3 for 91065, but we use that primary for commercial carriers.... [ Read More ]

91065 Breath Hydrogen Test

My GI doc is billing this in office, but lately we are seeing more Medicare denials for dx. We used to get paid using dx 271.2 or 271.3. I tried searching Medicare for LCD, but there is none. How c... [ Read More ]

H.Pylori Breath test CPT Coding Help!!!

What is the correct cpt code to use for H. Pylori breath test analysis in a situation where the hystology lab is in house with pathologist on site with GI physicians/facility and you are billing for h... [ Read More ]

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