tci General Surgery Coding Alert - 2006 Issue 8

Reader Questions: Payer Holds the Cards for 91110 Diagnoses

Question: What are the proper CPT and ICD-9 codes to report for using the -gut cam-?Florida Subscriber Answer: CPT added 91110 (Gastrointestinal tract imaging, intraluminal [e.g., capsule endoscopy], esophagus through ileum, with physician interpretation and report) in 2004 to report use of the PillCam, or so-called -gut-cam.- Remember, if your physician provides the professional portion of the procedure only (that is, interpretation and report of the results), you should append modifier 26 (Professional component) to 91110. If your physician provides both the professional and technical components of the procedure, you needn't attach any modifiers.  Acceptable...

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