Colonoscopy and endoscopy are the primary diagnostic and therapeutic avenues for a number of GI conditions, but these procedures are not always possible. Capsule endoscopy has arisen as a minimally invasive alternative in situations such as an incomplete colonoscopy or conditions that preclude colonoscopy or endoscopy.
Here is the CPT code for small bowel wireless capsule endoscopy and the two modifiers used with the code, according to Reimbursement Guide for Wireless Video Capsule Endoscopy Procedures from Olympus.
CPT Code
• 91110: Gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) esophagus through ileum, with physician interpretation and report
Modifiers
• 91110-TC: Gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) esophagus through ileum, with physician interpretation and report. Technical component
• 91110-26: Gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) esophagus through ileum, with physician interpretation and report. Professional component
CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
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