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The procedure described by CPT® Code 91112 involves a comprehensive evaluation of gastrointestinal function, specifically focusing on gastric emptying and transit times throughout the digestive tract, from the stomach to the colon. This assessment is particularly relevant for patients who may be experiencing symptoms indicative of gastroparesis, a condition characterized by delayed gastric emptying. During the procedure, the patient ingests a wireless capsule that is designed to transmit data regarding the movement and pressure within the gastrointestinal tract. This capsule is equipped with technology that allows it to send radio signals to an external receiver and recording device, which the patient is fitted with prior to ingestion. As the capsule travels through the stomach, small intestine, and large intestine, it continuously collects and transmits data regarding various parameters, including pH levels and pressure measurements. The entire process typically takes a few days, with the capsule being naturally expelled in the stool within 2 to 5 days post-ingestion. Once the data collection is complete, the recorded information is meticulously analyzed to determine key metrics such as gastric transit time, small intestine transit time, large intestine transit time, whole gut transit time, as well as antral and duodenal pressures. The physician then reviews this data along with the software analysis to compile a detailed written report of the findings, which aids in diagnosing and managing gastrointestinal disorders.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 91112 is indicated for patients who present with symptoms or conditions that may suggest gastrointestinal motility disorders, particularly gastroparesis. The following are specific indications for performing this procedure:
The procedure for CPT® Code 91112 involves several key steps that ensure accurate measurement and analysis of gastrointestinal transit and pressure. The following outlines the procedural steps:
Following the completion of the procedure associated with CPT® Code 91112, patients can generally resume their normal activities. The capsule is expected to pass naturally in the stool, and patients are advised to monitor for its passage. There are typically no specific post-procedure care requirements, but patients may be instructed to report any unusual symptoms or complications, such as persistent abdominal pain or changes in bowel habits, to their healthcare provider. The physician will review the findings from the report generated from the data analysis during a follow-up appointment, where further management or treatment options may be discussed based on the results.
| Short Descr | GI WIRELESS CAPSULE MEASURE | Medium Descr | GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP | Long Descr | Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | 1 | CCS Clinical Classification | 97 - Other gastrointestinal diagnostic procedures |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | GA | Waiver of liability statement issued as required by payer policy, individual case | GP | Services delivered under an outpatient physical therapy plan of care | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GZ | Item or service expected to be denied as not reasonable and necessary | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles |
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