{"id":2954,"date":"2025-02-18T15:25:08","date_gmt":"2025-02-18T15:25:08","guid":{"rendered":"https:\/\/medibillmd.com\/blog\/?p=2954"},"modified":"2025-05-15T11:20:32","modified_gmt":"2025-05-15T11:20:32","slug":"cpt-code-91110","status":"publish","type":"post","link":"https:\/\/medibillmd.com\/blog\/cpt-code-91110\/","title":{"rendered":"Ultimate Guide to CPT Code 91110"},"content":{"rendered":"\n<p>Are you confused between different coding options for capsule endoscopy? Let\u2019s talk about CPT code 91110, one of the popular gastrointestinal imaging codes. As a gastroenterologist or a gastroenterology professional, you might have come across this code before and may have even used it multiple times. But do you know its specifics?<\/p>\n\n\n\n<p>CPT code 91110 may seem like just another code, but you could face claim denials with a single incorrect application. So, what exactly does this code cover? And why is it so confusing? If you want to bill for gastrointestinal imaging accurately, follow our guidelines to understand the purpose and correct application of CPT code 91110.<\/p>\n\n\n\t\t\t\t<div class=\"wp-block-uagb-table-of-contents uagb-toc__align-left uagb-toc__columns-1 uagb-toc__collapse uagb-block-c4420d68      \"\n\t\t\t\t\tdata-scroll= \"1\"\n\t\t\t\t\tdata-offset= \"30\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t\t>\n\t\t\t\t<div class=\"uagb-toc__wrap\">\n\t\t\t\t\t\t<div class=\"uagb-toc__title\">\n\t\t\t\t\t\t\tTable Of Contents\t\t\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 384 512\"><path d=\"M192 384c-8.188 0-16.38-3.125-22.62-9.375l-160-160c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0L192 306.8l137.4-137.4c12.5-12.5 32.75-12.5 45.25 0s12.5 32.75 0 45.25l-160 160C208.4 380.9 200.2 384 192 384z\"><\/path><\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uagb-toc__list-wrap \">\n\t\t\t\t\t\t<ol class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#cpt-code-91110-description\" class=\"uagb-toc-link__trigger\">CPT Code 91110 &#8211; Description<\/a><li class=\"uagb-toc__list\"><a href=\"#scenarios-where-cpt-code-91110-is-applicable\" class=\"uagb-toc-link__trigger\">Scenarios Where CPT Code 91110 is Applicable<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#crohns-disease-diagnosis\" class=\"uagb-toc-link__trigger\">Crohn\u2019s Disease Diagnosis<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#refractory-celiac-disease-analysis\" class=\"uagb-toc-link__trigger\">Refractory Celiac Disease Analysis\u00a0<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#small-bowel-tumor-detection\" class=\"uagb-toc-link__trigger\">Small Bowel Tumor Detection<\/a><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#applicable-modifiers-for-cpt-code-91110\" class=\"uagb-toc-link__trigger\">Applicable Modifiers for CPT Code 91110<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#modifier-26\" class=\"uagb-toc-link__trigger\">Modifier 26<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#modifier-tc\" class=\"uagb-toc-link__trigger\">Modifier TC<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#modifier-52\" class=\"uagb-toc-link__trigger\">Modifier 52<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#modifier-59\" class=\"uagb-toc-link__trigger\">Modifier 59<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#modifier-xe\" class=\"uagb-toc-link__trigger\">Modifier XE<\/a><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#cpt-code-91110-billing-reimbursement-guidelines\" class=\"uagb-toc-link__trigger\">CPT Code 91110 &#8211; Billing &amp; Reimbursement Guidelines<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#verify-medical-necessity\" class=\"uagb-toc-link__trigger\">Verify Medical Necessity<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#maintain-complete-documentation\" class=\"uagb-toc-link__trigger\">Maintain Complete Documentation<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#use-cpt-code-91110-for-complete-capsule-endoscopy\" class=\"uagb-toc-link__trigger\">Use CPT Code 91110 for Complete Capsule Endoscopy<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#apply-appropriate-modifiers\" class=\"uagb-toc-link__trigger\">Apply Appropriate Modifiers<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#follow-payer-specific-guidelines\" class=\"uagb-toc-link__trigger\">Follow Payer-Specific Guidelines<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#review-your-claim-before-submission\" class=\"uagb-toc-link__trigger\">Review Your Claim Before Submission<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#conclusion\" class=\"uagb-toc-link__trigger\">Conclusion<\/a><\/ul><\/ul><\/ul><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>CPT Code 91110 <\/strong><strong>&#8211; Description<\/strong><\/h2>\n\n\n\n<p>The Current Procedural Terminology (CPT) code 91110 describes a non-invasive diagnostic procedure, capsule endoscopy. It involves swallowing a capsule containing a tiny wireless camera to take pictures as it travels through the digestive system.&nbsp;<\/p>\n\n\n\n<p>In simple terms, this procedure covers the entire length of a GI tract, starting from the esophagus, passing through the stomach, and ending at the final part of the small intestine (ileum). The primary purpose? To identify issues in the digestive tract, including Crohn\u2019s disease, ulcerative colitis, celiac disease, or cancer, by analyzing the irritated and inflamed areas in the patient\u2019s small intestine.<\/p>\n\n\n\n<p>In short, CPT code 91110 allows healthcare providers to bill for gastrointestinal tract imaging. It also covers result interpretation and reporting.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Scenarios Where <\/strong><strong>CPT Code 91110<\/strong><strong> is Applicable<\/strong><\/h2>\n\n\n\n<p>Struggling to use the CPT code 91110 accurately? Look at the following scenarios to learn when and how to use this code:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Crohn\u2019s Disease Diagnosis<\/strong><\/h3>\n\n\n\n<p>Let\u2019s start with performing capsule endoscopy to diagnose Crohn\u2019s disease, a type of inflammatory bowel disease. Assume a 23-year-old man visits a primary care facility. After reviewing his medical history and asking some questions, the doctor notes that he has chronic diarrhea and is currently experiencing persistent abdominal pain, fatigue, and rapid weight loss.&nbsp;&nbsp;<\/p>\n\n\n\n<p>The doctor also reviews the patient\u2019s previous negative ileocolonoscopy results but still suspects Crohn\u2019s disease. To confirm his suspicion, he performs a capsule endoscopy. He then uses CPT code 91110 to bill for this diagnostic test.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Refractory Celiac Disease Analysis&nbsp;<\/strong><\/h3>\n\n\n\n<p>But what if the condition is already known? Can you use this code to report capsule endoscopy for refractory symptoms analysis?&nbsp;&nbsp;<\/p>\n\n\n\n<p>Suppose a 52-year-old woman with known celiac disease continues to experience deteriorating health despite strictly adhering to a gluten-free diet for the past year. She arrives with general complaints of anemia, unexplained weight loss, persistent diarrhea, malaise, and abdominal pain.<\/p>\n\n\n\n<p>The gastroenterologist suspects refractory celiac disease (RCD) and performs a capsule endoscopy to look for villous atrophy (erosion of tiny cells lining the small intestine). He confirms the diagnosis, documents the results, and uses CPT code 91110 to report this procedure.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Small Bowel Tumor Detection<\/strong><\/h3>\n\n\n\n<p>What if you performed a capsule endoscopy to detect tumors? A 59-year-old man arrives at an outpatient clinic with unexplained abdominal pain, nausea, and a change in bowel habits. After a brief discussion and a review of the patient\u2019s medical records, the doctor learns about his family history of small bowel cancer, specifically adenocarcinomas.<\/p>\n\n\n\n<p>The healthcare provider performs a capsule endoscopy to visualize the patient\u2019s small intestine. This procedure allows him to detect a small bowel tumor. The doctor interprets and documents the results and hands everything to the billing team. They use CPT code 91110 to request reimbursement from the appropriate payer.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Applicable Modifiers for <\/strong><strong>CPT Code 91110<\/strong><\/h2>\n\n\n\n<p>Want to clarify how you performed the capsule endoscopy? You can use one of the following modifiers:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Modifier 26<\/strong><\/h3>\n\n\n\n<p>You can use <a href=\"https:\/\/medibillmd.com\/blog\/modifier-26\/\" target=\"_blank\" rel=\"noreferrer noopener\">modifier 26<\/a> to report that you only interpreted and documented the results of capsule endoscopy. In simple words, you can use it to bill the professional component of the service.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Modifier TC<\/strong><\/h3>\n\n\n\n<p>For the technical component, such as providing the capsule, hooking up equipment, and downloading data, append <a href=\"https:\/\/medibillmd.com\/blog\/modifier-tc\/\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/medibillmd.com\/blog\/modifier-tc\/\" rel=\"noreferrer noopener\">modifier TC<\/a> to CPT code 91110. This modifier helps healthcare providers receive compensation for their time and equipment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Modifier 52<\/strong><\/h3>\n\n\n\n<p>If you only examined a specific part of the patient\u2019s gastrointestinal tract, use <a href=\"https:\/\/medibillmd.com\/blog\/modifier-52\/\" target=\"_blank\" rel=\"noreferrer noopener\">modifier 52<\/a>. Simply put, this code allows healthcare providers to report reduced services. In this case, you should use it to notify payers that the performed capsule endoscopy was less extensive than the defined procedure in CPT code 91110.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Modifier 59<\/strong><\/h3>\n\n\n\n<p>If capsule endoscopy is distinct and separately identifiable from other services performed on the same day, use <a href=\"https:\/\/medibillmd.com\/blog\/modifier-51-vs-59\/\" target=\"_blank\" rel=\"noreferrer noopener\">modifier 59<\/a>. However, check the NCCI edits before reporting CPT code 91110 with another code.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Modifier XE<\/strong><\/h3>\n\n\n\n<p>For more specificity, you can use one of the NCCI-associated X{EPSU} modifiers. Use <a href=\"https:\/\/medibillmd.com\/blog\/modifier-xe\/\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/medibillmd.com\/blog\/modifier-xe\/\" rel=\"noreferrer noopener\">modifier XE<\/a> if you performed capsule endoscopy at a separate encounter on the same day.<\/p>\n\n\n\n<p><strong>Important Note:<\/strong> This diagnostic procedure is quite safe and does not require anesthesia. Therefore, billing teams rarely apply <a href=\"https:\/\/medibillmd.com\/blog\/modifier-53\/\" target=\"_blank\" rel=\"noreferrer noopener\">modifier 53<\/a> to CPT code 91110.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>CPT Code 91110<\/strong><strong> &#8211; Billing &amp; Reimbursement Guidelines<\/strong><\/h2>\n\n\n\n<p>Want to accurately bill CPT code 91110? Follow our instructions:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Verify Medical Necessity<\/strong><\/h3>\n\n\n\n<p>This is the most important step. Don\u2019t want to absorb the cost of capsule endoscopy? Always verify medical necessity before performing a capsule endoscopy. For example, Medicare only covers this procedure for diagnosing obscure gastrointestinal bleeding if the beneficiary is continuously experiencing GI blood loss or anemia.<\/p>\n\n\n\n<p>Therefore, make sure that you only perform this procedure for a <a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/article.aspx?articleid=56727&amp;ver=18&amp;keyword=&amp;keywordType=starts&amp;areaId=all&amp;docType=6,3,5,1,F,P&amp;contractOption=all&amp;hcpcsOption=code&amp;hcpcsStartCode=91110&amp;hcpcsEndCode=91110&amp;sortBy=title&amp;bc=1\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">covered diagnosis code<\/a>, as highlighted on the Centers for Medicare &amp; Medicaid Services (CMS) website.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Maintain Complete Documentation<\/strong><\/h3>\n\n\n\n<p>After verifying medical necessity, maintain complete documentation in the patient\u2019s medical record to justify the procedure. All records should be legible and include appropriate patient information, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Complete Name<\/li>\n\n\n\n<li>Date of Service (DOS)<\/li>\n\n\n\n<li>Symptoms<\/li>\n\n\n\n<li>Results of prior tests<\/li>\n<\/ul>\n\n\n\n<p>The last point is extremely important as it explains why a healthcare provider has performed capsule endoscopy. In simple terms, it clarifies that, despite multiple attempts, previous tests, including colonoscopy or endoscopy, failed to identify the actual issue.<\/p>\n\n\n\n<p>Last but not least, your medical documentation should highlight the role of capsule endoscopy in patient treatment. Moreover, don&#8217;t forget to include legible signatures of physicians or non-physician practitioners responsible for performing the procedure.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Use <\/strong><strong>CPT Code 91110<\/strong><strong> for Complete Capsule Endoscopy<\/strong><\/h3>\n\n\n\n<p>Remember that you can only use CPT code 91110 for a complete capsule endoscopy, not for observing a specific part of the digestive tract. This means that the capsule must successfully capture images from the patient\u2019s esophagus through the ileum.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Apply Appropriate Modifiers<\/strong><\/h3>\n\n\n\n<p>Don\u2019t forget to use modifiers when necessary. Different modifiers convey different information:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Use <strong>modifier 26<\/strong> if you are only billing for physician interpretation and reporting.<\/li>\n\n\n\n<li>On the other hand, you can use the <strong>TC modifier<\/strong> to report the technical component.<\/li>\n\n\n\n<li>Append <strong>modifier 52<\/strong> to CPT code 91110 to report reduced services.<\/li>\n\n\n\n<li>Use <strong>modifier 59<\/strong> if the capsule endoscopy is unrelated to other services.<\/li>\n\n\n\n<li>Apply <strong><a href=\"https:\/\/medibillmd.com\/blog\/ga-modifier\/\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/medibillmd.com\/blog\/ga-modifier\/\" rel=\"noreferrer noopener\">modifier GA<\/a><\/strong> after obtaining a signed ABN if you believe Medicare may deny the procedure due to lack of medical necessity.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Follow Payer-Specific Guidelines<\/strong><\/h3>\n\n\n\n<p>The best way to avoid billing complications is to comply with payer-specific requirements. Refer to the Local Coverage Determination (LCD) or other relevant documents to understand the limitations of capsule endoscopy. Additionally, follow<strong> <\/strong>place of service<strong> <\/strong>(POS) requirements to avoid claim denials.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Review Your Claim Before Submission<\/strong><\/h3>\n\n\n\n<p>Finally, after completing all the steps, always review your claim to identify and correct potential errors before submission. This step will help ensure proper and timely reimbursement for capsule endoscopy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Conclusion<\/strong><\/h2>\n\n\n\n<p>To conclude, CPT code 91110 is quite simple to understand. It refers to a popular non-invasive gastrointestinal diagnostic procedure, capsule endoscopy. However, you cannot perform this procedure if conventional tests, such as colonoscopy or endoscopy, can diagnose digestive tract problems.<\/p>\n\n\n\n<p>Understandably, insurance companies require justification for CPT code 91110, which you can provide by following our instructions. We have covered this code in detail to clear up your confusion. But if you would rather hand over everything to a professional, contact our representative to book an appointment. Our <a href=\"https:\/\/medibillmd.com\/specialties\/gastroenterology-billing-services\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>gastroenterology billing services<\/strong><\/a> cover everything, including coding.<\/p>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color has-large-font-size wp-elements-abb47e80fabc22046fdcb7a89e86f1a7\" style=\"color:#045cb4;margin-bottom:var(--wp--preset--spacing--30)\"><strong>Frequently Asked Questions<\/strong><\/p>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-6a7fb1d5 uagb-faq-icon-row-reverse uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"@id\":\"https:\\\/\\\/medibillmd.com\\\/blog\\\/cpt-code-91110\\\/\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"<strong>Is CPT code 91110 covered by Medicare?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes, Medicare covers CPT code 91110 but it requires justification for performing capsule endoscopy.\"}},{\"@type\":\"Question\",\"name\":\"<strong>Does the CPT code 91110 need a modifier?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 91110 may need a modifier, particularly modifier 26 or TC, if you are separately billing for professional or technical components.\"}},{\"@type\":\"Question\",\"name\":\"<strong>What is the difference between CPT codes 91110 and 91112?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Although both codes refer to capsule endoscopy, they are quite different. While CPT code 91110 refers to a more comprehensive capsule endoscopy performed to diagnose digestive tract issues, CPT code 91112 reports motility function analysis.<br><br>In simple terms, CPT code 91110 points to a standard gastrointestinal diagnostic procedure that relies on captured images from the patient\\u2019s esophagus through the ileum. On the other hand, a gastrointestinal motility study via capsule endoscopy measures pressure and muscle contractions in the stomach and colon.\"}},{\"@type\":\"Question\",\"name\":\"<strong>What Is the Difference Between CPT Codes 91110 and 91111?<\\\/strong>\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 91110 refers to a comprehensive capsule endoscopy procedure, whereas CPT code 91111 is more specific. To put it simply, healthcare providers use CPT 91110 when they perform a complete capsule endoscopy to diagnose digestive tract issues.<br><br>In contrast, CPT 91111 refers to esophageal capsule endoscopy. Billing specialists use this code when doctors only examine and identify problems in the esophagus.<br>\"}}]}<\/script><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-9d7f5ed0 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Is CPT code 91110 covered by Medicare?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Yes, Medicare covers CPT code 91110 but it requires justification for performing capsule endoscopy.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-8b1e028d \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Does the CPT code 91110 need a modifier?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>CPT code 91110 may need a modifier, particularly modifier 26 or TC, if you are separately billing for professional or technical components.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-5b703a1d \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>What is the difference between CPT codes 91110 and 91112?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Although both codes refer to capsule endoscopy, they are quite different. While CPT code 91110 refers to a more comprehensive capsule endoscopy performed to diagnose digestive tract issues, CPT code 91112 reports motility function analysis.<br><br>In simple terms, CPT code 91110 points to a standard gastrointestinal diagnostic procedure that relies on captured images from the patient\u2019s esophagus through the ileum. On the other hand, a gastrointestinal motility study via capsule endoscopy measures pressure and muscle contractions in the stomach and colon.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-cbe50afd \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>What Is the Difference Between CPT Codes 91110 and 91111?<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>CPT code 91110 refers to a comprehensive capsule endoscopy procedure, whereas CPT code 91111 is more specific. To put it simply, healthcare providers use CPT 91110 when they perform a complete capsule endoscopy to diagnose digestive tract issues.<br><br>In contrast, CPT 91111 refers to esophageal capsule endoscopy. Billing specialists use this code when doctors only examine and identify problems in the esophagus.<br><\/p><\/div><\/div><\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Are you confused between different coding options for capsule endoscopy? Let\u2019s talk about CPT code 91110, one of the popular [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":2955,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","content-type":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[10],"tags":[],"class_list":["post-2954","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cpt-codes"],"uagb_featured_image_src":{"full":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad.webp",1200,720,false],"thumbnail":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad-150x150.webp",150,150,true],"medium":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad-300x180.webp",300,180,true],"medium_large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad-768x461.webp",768,461,true],"large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad-1024x614.webp",1024,614,true],"1536x1536":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad.webp",1200,720,false],"2048x2048":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/02\/ultimate-guide-to-cpt-code-91110-67b4719f738ad.webp",1200,720,false]},"uagb_author_info":{"display_name":"Fred Allen","author_link":"https:\/\/medibillmd.com\/blog\/author\/fred-allen\/"},"uagb_comment_info":0,"uagb_excerpt":"Are you confused between different coding options for capsule endoscopy? Let\u2019s talk about CPT code 91110, one of the popular [&hellip;]","_links":{"self":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/2954","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/comments?post=2954"}],"version-history":[{"count":0,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/2954\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media\/2955"}],"wp:attachment":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media?parent=2954"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/categories?post=2954"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/tags?post=2954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}