CPT code 91110: Capsule imaging, esophagus through ileum2026 Medicare rate & RVUs in California

Medicare pays $871.87–$1,130.00 for 91110 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

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 in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

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.

Payment rules and modifiers for 91110

The CMS indicators that decide how 91110 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

91110 compared with similar codes

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.

Codes related to 91110

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates