tci Medicare Compliance & Reimbursement - 2008 Issue 25

Reader Question: CPT Accounts For Price Of 'Pill Cam' In Procedure Codes

Choose between 91110 and 91111 for appropriate payment. Question: What can you tell me about coding for a "gut cam" or a "pill cam"? Must I use an unlisted-procedure code for this service? Answer: You won't have to use an unlisted-procedure code for these services. CPT provides two codes for so-called "pill cams" (essentially, a small camera the patient swallows that provides images for study), depending on how extensive a view the physician obtains. If the physician uses a capsule study to image the intraluminal esophagus through the ileum (also including the stomach, duodenum and jejunum), you'll report 91110...

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