Gastroenterology Coding Alert

Question: Which codes do we use to report esophageal motility studies with interpretation and report?

Utah Subscriber

Answer: To report esophageal manometry, report 91010 (Esophageal motility [manometric study of the esophagus and/or gastroesophageal junction] study with interpretation and report) or 91010 along with add on code +91013 (Esophageal motility [manometric study of the esophagus and/or gastroesophageal junction] study with interpretation and report; with stimulation or perfusion [eg, stimulant, acid or alkali perfusion] [List separately in addition to code for primary procedure]), as appropriate.

When reporting only the professional component of the procedure, add modifier 26, (Professional component) to the code.

When reporting only the technical component of the procedure, use modifier TC (Technical component), unless the facility provided the technical component.

To report esophageal manometry with pressure topography, report 91299 (Unlisted diagnostic gastroenterology procedure)

You may not use the category III codes 0240T (Esophageal motility [manometric study of the esophagus and/or gastroesophageal junction] study with interpretation and report; with 3-dimensional high resolution esophageal pressure topography) and 0241T (Esophageal motility [manometric study of the esophagus and/or gastroesophageal junction] study with interpretation and report; with stimulation or perfusion during high resolution esophageal pressure topography study [eg, stimulant, acid or alkali perfusion] [list separately in addition to code for primary procedure]), as these codes have been deleted in 2016.