CPT code 91110: Capsule imaging, esophagus through ileum2026 Medicare rate & RVUs
Reports wireless capsule imaging of the gastrointestinal tract from the esophagus through the ileum to evaluate suspected mucosal disease or bleeding.
Medicare pays $802.29 for 91110 nationally in the office. Local office rates run $698.40–$1,130.00.
Medicare rate · 91110
Capsule imaging, esophagus through ileum
- Work RVUs
- 2.18
- Total RVUs
- 24.02
- Global days
- XXX
National rate · 2026
$802.29
Office setting, before claim adjustments.
See every locality for 91110 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 10 sections
What 91110 covers
A patient swallows a small camera capsule that records images as it moves through the gastrointestinal tract. The study evaluates the mucosal lining, especially the small bowel, for findings such as a suspected bleeding source or Crohn disease. A gastroenterologist or other qualified physician reviews the recorded images and prepares the interpretation and report. The service is used in outpatient and facility settings when a capsule-based examination of the tract through the ileum is performed.
Select this code for the imaging examination’s documented anatomic extent, not for a wireless capsule study that measures transit or pressure. The record should support capsule administration, image acquisition, and physician interpretation and report. CMS recognizes separately priced professional and technical portions: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 91110 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$698.40 to $1130.00
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $710.18 | Unavailable |
| Alaska | $884.57 | Unavailable |
| Arizona | $779.34 | Unavailable |
| Arkansas | $698.40 | Unavailable |
| Atlanta, GA | $814.74 | Unavailable |
| Austin, TX | $844.23 | Unavailable |
| Bakersfield, CA | $872.24 | Unavailable |
| Baltimore area, MD | $857.20 | Unavailable |
| Beaumont, TX | $736.69 | Unavailable |
| Brazoria, TX | $795.67 | Unavailable |
| Chicago, IL | $810.32 | Unavailable |
| Chico, CA | $871.87 | Unavailable |
| Colorado | $849.00 | Unavailable |
| Connecticut | $860.32 | Unavailable |
| Dallas, TX | $799.61 | Unavailable |
| Delaware | $793.63 | Unavailable |
| Detroit, MI | $778.93 | Unavailable |
| East St. Louis, IL | $747.22 | Unavailable |
| El Centro, CA | $871.89 | Unavailable |
| Fort Lauderdale, FL | $814.16 | Unavailable |
| Fort Worth, TX | $792.39 | Unavailable |
| Fresno, CA | $871.87 | Unavailable |
| Galveston, TX | $797.27 | Unavailable |
| Hanford, CA | $871.87 | Unavailable |
| Hawaii, Guam, HI | $900.55 | Unavailable |
| Houston, TX | $798.92 | Unavailable |
| Idaho | $742.59 | Unavailable |
| Indiana | $747.71 | Unavailable |
| Iowa | $738.73 | Unavailable |
| Kansas | $731.06 | Unavailable |
| Kentucky | $721.40 | Unavailable |
| King County, WA | $970.29 | Unavailable |
| Los Angeles, CA | $937.21 | Unavailable |
| Madera, CA | $871.87 | Unavailable |
| Manhattan, NY | $926.40 | Unavailable |
| Marin County, CA | $1,105.43 | Unavailable |
| Merced, CA | $871.87 | Unavailable |
| Metropolitan Boston, MA | $945.88 | Unavailable |
| Metropolitan Kansas City, MO | $757.91 | Unavailable |
| Metropolitan Philadelphia, PA | $833.97 | Unavailable |
| Metropolitan St. Louis, MO | $767.43 | Unavailable |
| Miami, FL | $836.67 | Unavailable |
| Minnesota | $821.24 | Unavailable |
| Mississippi | $700.53 | Unavailable |
| Modesto, CA | $871.87 | Unavailable |
| Montana | $802.28 | Unavailable |
| Napa, CA | $1,036.42 | Unavailable |
| Nebraska | $744.48 | Unavailable |
| Nevada | $802.51 | Unavailable |
| New Hampshire | $831.70 | Unavailable |
| New Mexico | $742.60 | Unavailable |
| New Orleans, LA | $759.84 | Unavailable |
| North Carolina | $752.53 | Unavailable |
| North Dakota | $800.50 | Unavailable |
| Northern New Jersey | $923.32 | Unavailable |
| NYC suburbs and Long Island, NY | $946.83 | Unavailable |
| Ohio | $739.11 | Unavailable |
| Oklahoma | $723.89 | Unavailable |
| Oxnard, CA | $935.41 | Unavailable |
| Portland, OR | $883.32 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $875.21 | Unavailable |
| Puerto Rico | $810.24 | Unavailable |
| Queens, NY | $940.50 | Unavailable |
| Redding, CA | $871.87 | Unavailable |
| Rest of California | $871.87 | Unavailable |
| Rest of Florida | $771.84 | Unavailable |
| Rest of Georgia | $724.41 | Unavailable |
| Rest of Illinois | $740.78 | Unavailable |
| Rest of Louisiana | $718.62 | Unavailable |
| Rest of Maine | $743.04 | Unavailable |
| Rest of Maryland | $811.49 | Unavailable |
| Rest of Massachusetts | $841.35 | Unavailable |
| Rest of Michigan | $739.47 | Unavailable |
| Rest of Missouri | $701.96 | Unavailable |
| Rest of New Jersey | $872.33 | Unavailable |
| Rest of New York | $765.07 | Unavailable |
| Rest of Oregon | $798.49 | Unavailable |
| Rest of Pennsylvania | $742.55 | Unavailable |
| Rest of Texas | $764.95 | Unavailable |
| Rest of Washington | $841.02 | Unavailable |
| Rhode Island | $827.32 | Unavailable |
| Riverside, CA | $872.90 | Unavailable |
| Sacramento, CA | $921.93 | Unavailable |
| Salinas, CA | $918.66 | Unavailable |
| San Benito County, CA | $1,130.00 | Unavailable |
| San Diego, CA | $945.49 | Unavailable |
| San Francisco, CA | $1,105.33 | Unavailable |
| San Luis Obispo, CA | $903.11 | Unavailable |
| Santa Clara County, CA | $1,129.59 | Unavailable |
| Santa Cruz, CA | $958.61 | Unavailable |
| Santa Maria, CA | $923.53 | Unavailable |
| Santa Rosa, CA | $968.71 | Unavailable |
| South Carolina | $746.63 | Unavailable |
| South Dakota | $800.29 | Unavailable |
| Southern Maine, ME | $794.64 | Unavailable |
| Stockton, CA | $871.87 | Unavailable |
| Suburban Chicago, IL | $824.73 | Unavailable |
| Tennessee | $734.79 | Unavailable |
| Utah | $758.39 | Unavailable |
| Vallejo, CA | $1,036.27 | Unavailable |
| Vermont | $793.54 | Unavailable |
| Virgin Islands, VI | $810.24 | Unavailable |
| Virginia | $789.06 | Unavailable |
| Visalia, CA | $871.87 | Unavailable |
| Washington, DC area | $935.87 | Unavailable |
| West Virginia | $708.42 | Unavailable |
| Wisconsin | $769.70 | Unavailable |
| Wyoming | $801.51 | Unavailable |
| Yuba City, CA | $871.87 | Unavailable |
91110 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$698.40
$1,000.94
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $884.57 | 1 |
| AL | $710.18 | 1 |
| AR | $698.40 | 1 |
| AZ | $779.34 | 1 |
| CA | $871.87–$1,130.00 | 29 |
| CO | $849.00 | 1 |
| CT | $860.32 | 1 |
| DC | $935.87 | 1 |
| DE | $793.63 | 1 |
| FL | $771.84–$836.67 | 3 |
| GA | $724.41–$814.74 | 2 |
| GU | $900.55 | 1 |
| HI | $900.55 | 1 |
| IA | $738.73 | 1 |
| ID | $742.59 | 1 |
| IL | $740.78–$824.73 | 4 |
| IN | $747.71 | 1 |
| KS | $731.06 | 1 |
| KY | $721.40 | 1 |
| LA | $718.62–$759.84 | 2 |
| MA | $841.35–$945.88 | 2 |
| MD | $811.49–$935.87 | 3 |
| ME | $743.04–$794.64 | 2 |
| MI | $739.47–$778.93 | 2 |
| MN | $821.24 | 1 |
| MO | $701.96–$767.43 | 3 |
| MS | $700.53 | 1 |
| MT | $802.28 | 1 |
| NC | $752.53 | 1 |
| ND | $800.50 | 1 |
| NE | $744.48 | 1 |
| NH | $831.70 | 1 |
| NJ | $872.33–$923.32 | 2 |
| NM | $742.60 | 1 |
| NV | $802.51 | 1 |
| NY | $765.07–$946.83 | 5 |
| OH | $739.11 | 1 |
| OK | $723.89 | 1 |
| OR | $798.49–$883.32 | 2 |
| PA | $742.55–$833.97 | 2 |
| PR | $810.24 | 1 |
| RI | $827.32 | 1 |
| SC | $746.63 | 1 |
| SD | $800.29 | 1 |
| TN | $734.79 | 1 |
| TX | $736.69–$844.23 | 8 |
| UT | $758.39 | 1 |
| VA | $789.06–$935.87 | 2 |
| VI | $810.24 | 1 |
| VT | $793.54 | 1 |
| WA | $841.02–$970.29 | 2 |
| WI | $769.70 | 1 |
| WV | $708.42 | 1 |
| WY | $801.51 | 1 |
How the 91110 rate is calculated
Each of 91110’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 91110
RVUs × geographic indexes × conversion factor
Work2.18
2.18 RVUs× 1.000 GPCI
Practice expense21.75
21.75 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
24.0200
Conversion factor
$33.4009
Medicare rate
$802.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 91110
The CMS indicators that decide how 91110 is paid alongside other services.
CMS payment indicators · 91110
Capsule imaging, esophagus through ileum
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
91110 without 26 · national office
$802.29
Capsule imaging, esophagus through ileum
91110-26 · Professional component
$117.91
Pays only the interpretation and report.
91110 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 91111Capsule imagingEsophagus only
- 91111 is limited to esophageal capsule imaging; 91110 covers an examination extending through the gastrointestinal tract to the ileum.
- 91112Motility capsuleTransit and pressure measurement
- 91112 measures gastrointestinal transit and pressure with a wireless capsule. Choose 91110 for capsule images used to assess mucosal findings.
- 91113Colon capsule imagingColon segment
- 91113 reports capsule imaging of the colon, whereas 91110 describes imaging through the ileum.
91110 billing questions
When should 91110 be selected instead of 91111?
Use 91110 when the capsule imaging examination extends through the gastrointestinal tract to the ileum. Code 91111 is limited to capsule imaging of the esophagus.
How does 91110 differ from 91112?
91110 records images of the gastrointestinal mucosa. 91112 is for wireless capsule measurement of gastrointestinal transit and pressure, not mucosal imaging.
What do modifiers 26 and TC identify?
Modifier 26 identifies the physician’s interpretation and report. Modifier TC identifies the technical service, including equipment and staff; without either modifier, the claim represents the global service.
What documentation supports reporting 91110?
Document the capsule imaging performed, the examination’s extent through the ileum, and the physician’s interpretation and report. The record should also support which professional, technical, or global service is being billed.
Is 91113 interchangeable with 91110?
No. 91110 covers capsule imaging through the ileum, while 91113 identifies capsule imaging of the colon.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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