CPT code 91110: Capsule imaging, esophagus through ileum2026 Medicare rate & RVUs in New Mexico
Reports wireless capsule imaging of the gastrointestinal tract from the esophagus through the ileum to evaluate suspected mucosal disease or bleeding.
In New Mexico, Medicare pays $742.60 for 91110 in the office.
Check a contract rate as a % of Medicare · 91110 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How New Mexico compares for 91110
Across 109 of 109 payment localities, the office rate for 91110 runs from $698.40 in Arkansas to $1,130.00 in San Benito County, CA. New Mexico pays $742.60. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$742.60
- Los Angeles, CA · California$937.21+$194.61
- Washington, DC area · District of Columbia$935.87+$193.27
- Miami, FL · Florida$836.67+$94.07
- Chicago, IL · Illinois$810.32+$67.72
- Manhattan, NY · New York$926.40+$183.80
- Alaska · Alaska$884.57+$141.97
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $710.18 | — |
| ArkansasArkansas | $698.40 | — |
| ArizonaArizona | $779.34 | — |
| Bakersfield, CACalifornia | $872.24 | — |
| Chico, CACalifornia | $871.87 | — |
| El Centro, CACalifornia | $871.89 | — |
| Fresno, CACalifornia | $871.87 | — |
| Hanford, CACalifornia | $871.87 | — |
| Madera, CACalifornia | $871.87 | — |
| Merced, CACalifornia | $871.87 | — |
| Modesto, CACalifornia | $871.87 | — |
| Napa, CACalifornia | $1,036.42 | — |
| Oxnard, CACalifornia | $935.41 | — |
| Redding, CACalifornia | $871.87 | — |
| Rest of CaliforniaCalifornia | $871.87 | — |
| Riverside, CACalifornia | $872.90 | — |
| Sacramento, CACalifornia | $921.93 | — |
| Salinas, CACalifornia | $918.66 | — |
| San Diego, CACalifornia | $945.49 | — |
| Marin County, CACalifornia | $1,105.43 | — |
| San Francisco, CACalifornia | $1,105.33 | — |
| San Benito County, CACalifornia | $1,130.00 | — |
| Santa Clara County, CACalifornia | $1,129.59 | — |
| San Luis Obispo, CACalifornia | $903.11 | — |
| Santa Cruz, CACalifornia | $958.61 | — |
| Santa Maria, CACalifornia | $923.53 | — |
| Santa Rosa, CACalifornia | $968.71 | — |
| Stockton, CACalifornia | $871.87 | — |
| Vallejo, CACalifornia | $1,036.27 | — |
| Visalia, CACalifornia | $871.87 | — |
| Yuba City, CACalifornia | $871.87 | — |
| ColoradoColorado | $849.00 | — |
| ConnecticutConnecticut | $860.32 | — |
| DelawareDelaware | $793.63 | — |
| Fort Lauderdale, FLFlorida | $814.16 | — |
| Rest of FloridaFlorida | $771.84 | — |
| Atlanta, GAGeorgia | $814.74 | — |
| Rest of GeorgiaGeorgia | $724.41 | — |
| Hawaii, Guam, HIHawaii | $900.55 | — |
| IowaIowa | $738.73 | — |
| IdahoIdaho | $742.59 | — |
| East St. Louis, ILIllinois | $747.22 | — |
| Rest of IllinoisIllinois | $740.78 | — |
| Suburban Chicago, ILIllinois | $824.73 | — |
| IndianaIndiana | $747.71 | — |
| KansasKansas | $731.06 | — |
| KentuckyKentucky | $721.40 | — |
| New Orleans, LALouisiana | $759.84 | — |
| Rest of LouisianaLouisiana | $718.62 | — |
| Metropolitan Boston, MAMassachusetts | $945.88 | — |
| Rest of MassachusettsMassachusetts | $841.35 | — |
| Baltimore area, MDMaryland | $857.20 | — |
| Rest of MarylandMaryland | $811.49 | — |
| Rest of MaineMaine | $743.04 | — |
| Southern Maine, MEMaine | $794.64 | — |
| Detroit, MIMichigan | $778.93 | — |
| Rest of MichiganMichigan | $739.47 | — |
| MinnesotaMinnesota | $821.24 | — |
| Metropolitan Kansas City, MOMissouri | $757.91 | — |
| Metropolitan St. Louis, MOMissouri | $767.43 | — |
| Rest of MissouriMissouri | $701.96 | — |
| MississippiMississippi | $700.53 | — |
| MontanaMontana | $802.28 | — |
| North CarolinaNorth Carolina | $752.53 | — |
| North DakotaNorth Dakota | $800.50 | — |
| NebraskaNebraska | $744.48 | — |
| New HampshireNew Hampshire | $831.70 | — |
| Northern New JerseyNew Jersey | $923.32 | — |
| Rest of New JerseyNew Jersey | $872.33 | — |
| NevadaNevada | $802.51 | — |
| NYC suburbs and Long Island, NYNew York | $946.83 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $875.21 | — |
| Queens, NYNew York | $940.50 | — |
| Rest of New YorkNew York | $765.07 | — |
| OhioOhio | $739.11 | — |
| OklahomaOklahoma | $723.89 | — |
| Portland, OROregon | $883.32 | — |
| Rest of OregonOregon | $798.49 | — |
| Metropolitan Philadelphia, PAPennsylvania | $833.97 | — |
| Rest of PennsylvaniaPennsylvania | $742.55 | — |
| Puerto RicoPuerto Rico | $810.24 | — |
| Rhode IslandRhode Island | $827.32 | — |
| South CarolinaSouth Carolina | $746.63 | — |
| South DakotaSouth Dakota | $800.29 | — |
| TennesseeTennessee | $734.79 | — |
| Austin, TXTexas | $844.23 | — |
| Beaumont, TXTexas | $736.69 | — |
| Brazoria, TXTexas | $795.67 | — |
| Dallas, TXTexas | $799.61 | — |
| Fort Worth, TXTexas | $792.39 | — |
| Galveston, TXTexas | $797.27 | — |
| Houston, TXTexas | $798.92 | — |
| Rest of TexasTexas | $764.95 | — |
| UtahUtah | $758.39 | — |
| VirginiaVirginia | $789.06 | — |
| Virgin Islands, VIUnited States Virgin Islands | $810.24 | — |
| VermontVermont | $793.54 | — |
| Rest of WashingtonWashington | $841.02 | — |
| King County, WAWashington | $970.29 | — |
| WisconsinWisconsin | $769.70 | — |
| West VirginiaWest Virginia | $708.42 | — |
| WyomingWyoming | $801.51 | — |
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,621
- Code
- 91110
- Physician work
- 2.18
- Practice expense
- 21.75
- Malpractice
- 0.09
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.18 | × 1.000 | 2.1800 |
| Practice expense | 21.75 | × 0.917 | 19.9447 |
| Malpractice | 0.09 | × 1.201 | 0.1081 |
| Total RVUs | 22.2328 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$742.60
Office: (2.18 × 1 + 21.75 × 0.917 + 0.09 × 1.201) × $33.4009 = $742.60
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.
How 91110 has changed in New Mexico
91110 · Office / nonfacility
$742.60
Effective 2026-10-01
The base rate is $121.78 higher than on 2025-10-01, moving from $620.82 to $742.60 (19.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$620.82changed to$742.60
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.24 changed to 2.18
- Practice expense RVU 18.58 changed to 21.75
- Malpractice RVU 0.07 changed to 0.09
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$669.49changed to$620.82
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 19.58 changed to 18.58
- Malpractice RVU 0.08 changed to 0.07
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$658.56changed to$669.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$690.71changed to$658.56
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 20.01 changed to 19.58
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$731.99changed to$690.71
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 20.99 changed to 20.01
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$803.46changed to$731.99
- Conversion factor 34.8931 changed to 34.6062
- Work RVU 2.49 changed to 2.24
- Practice expense RVU 22.79 changed to 20.99
- Malpractice RVU 0.10 changed to 0.09
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$807.94changed to$803.46
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 21.78 changed to 22.79
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$807.94
Held through RVU20B, RVU20C, RVU20D.
January 1, 2017
RVU17A
$830.36changed toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
January 1, 2016
RVU16A
$847.88changed to$830.36
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 21.50 changed to 21.06
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$843.66changed to$847.88
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$837.69changed to$843.66
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 21.32 changed to 21.50
- Malpractice RVU 0.16 changed to 0.17
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$837.69
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $742.60 | Not available in this setting | RVU26D |
| 2026-07-01 | $742.60 | Not available in this setting | RVU26C |
| 2026-04-01 | $742.60 | Not available in this setting | RVU26B |
| 2026-01-01 | $742.60 | Not available in this setting | RVU26A |
| 2025-10-01 | $620.82 | Not available in this setting | RVU25D |
| 2025-07-01 | $620.82 | Not available in this setting | RVU25C |
| 2025-04-01 | $620.82 | Not available in this setting | RVU25B |
| 2025-01-01 | $620.82 | Not available in this setting | RVU25A |
| 2024-10-01 | $669.49 | Not available in this setting | RVU24D |
| 2024-07-01 | $669.49 | Not available in this setting | RVU24C |
| 2024-04-01 | $669.49 | Not available in this setting | RVU24B |
| 2024-03-09 | $669.49 | Not available in this setting | RVU24AR |
| 2024-01-01 | $658.56 | Not available in this setting | RVU24A |
| 2023-10-01 | $690.71 | Not available in this setting | RVU23D |
| 2023-07-01 | $690.71 | Not available in this setting | RVU23C |
| 2023-04-01 | $690.71 | Not available in this setting | RVU23B |
| 2023-01-01 | $690.71 | Not available in this setting | RVU23A |
| 2022-10-01 | $731.99 | Not available in this setting | RVU22D |
| 2022-07-01 | $731.99 | Not available in this setting | RVU22C |
| 2022-04-01 | $731.99 | Not available in this setting | RVU22B |
| 2022-01-01 | $731.99 | Not available in this setting | RVU22A |
| 2021-10-01 | $803.46 | Not available in this setting | RVU21D |
| 2021-07-01 | $803.46 | Not available in this setting | RVU21C |
| 2021-04-01 | $803.46 | Not available in this setting | RVU21B |
| 2021-01-01 | $803.46 | Not available in this setting | RVU21A |
| 2020-10-01 | $807.94 | Not available in this setting | RVU20D |
| 2020-07-01 | $807.94 | Not available in this setting | RVU20C |
| 2020-04-01 | $807.94 | Not available in this setting | RVU20B |
| 2020-01-01 | $807.94 | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | Additional calculation required | Not available in this setting | RVU18D |
| 2018-07-01 | Additional calculation required | Not available in this setting | RVU18C |
| 2018-04-01 | Additional calculation required | Not available in this setting | RVU18B |
| 2018-01-01 | Additional calculation required | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | $830.36 | Not available in this setting | RVU16D |
| 2016-07-01 | $830.36 | Not available in this setting | RVU16C |
| 2016-04-01 | $830.36 | Not available in this setting | RVU16B |
| 2016-01-01 | $830.36 | Not available in this setting | RVU16A |
| 2015-10-01 | $847.88 | Not available in this setting | RVU15D |
| 2015-07-01 | $847.88 | Not available in this setting | RVU15C |
| 2015-04-01 | $843.66 | Not available in this setting | RVU15B |
| 2015-01-01 | $843.66 | Not available in this setting | RVU15A |
| 2014-10-01 | $837.69 | Not available in this setting | RVU14D |
| 2014-07-01 | $837.69 | Not available in this setting | RVU14C |
| 2014-04-01 | $837.69 | Not available in this setting | RVU14B |
| 2014-01-01 | $837.69 | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
Show the CMS file lines behind this rate
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