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Gastroenterology Coding Alert

GI Tract Imaging:

91110, 91111: Get the Answers to Your Toughest Dilemmas

Published on Thu Feb 10, 2011

Discover what 3 modifiers you'll use coding capsule studies.When a patient presents to your office for a capsule study and the capsule gets lodged in hisstomach, would you know how to bill your claim?A good sense of what anatomy the capsule study evaluates could save you from a possible coding disaster. It's not enough that you know the two CPTs to use for this study: 91110 and 91111. Find out the answers to coders' frequently asked questions (FAQs) and you wouldn't have to worry about picking the right code.1. How Would You Report a Repeat Procedure with 91110?Sometimes, your gastroenterologist would use a capsule study to image the intraluminal esophagus all the way through the ileum and reaching the colon. In this case, you should report 91110 (Gastrointestinal tract imaging, intraluminal [e.g., capsule endoscopy], esophagus through ileum, with physician interpretation and report).Example: Patient comes in for a capsule endoscopy, but [...]
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