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CPT code 91112: Motility capsule, transit and pressure measurement2026 Medicare rate & RVUs

A swallowed wireless capsule records gastrointestinal transit and pressure to evaluate suspected motility disorders, including delayed gastric emptying or slow intestinal transit.

CMS RVU26DEffective Oct 1, 2026109 payment localities90 Medicare services in 2024

Medicare pays $1,767.24 for 91112 nationally in the office. Local office rates run $1,526.57–$2,522.60.

Medicare rate · 91112

Motility capsule, transit and pressure measurement

Office or facility?

Work RVUs
2.05
Total RVUs
52.91
Global days
XXX

National rate · 2026

$1,767.24

Office setting, before claim adjustments.

See every locality for 91112 →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

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 91112 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 91112 covers

The patient swallows a wireless capsule that records physiologic data as it moves through the gastrointestinal tract. The study can assess gastric emptying and transit through the small bowel and colon, helping evaluate suspected motility problems such as gastroparesis or slow transit. Gastroenterologists and GI motility specialists commonly interpret the recorded data in outpatient settings.

Choose 91112 when the clinical question concerns gastrointestinal transit and pressure, rather than visual inspection of the lining of the digestive tract. Documentation should identify the symptoms or suspected motility disorder, the capsule study performed, the recorded data, and the interpretation. CMS recognizes a professional component for interpretation (modifier 26) and a technical component for equipment and staff (modifier TC); report without a modifier when billing 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 91112 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

$1526.57 to $2522.60

$1526.57$2024.59$2522.60
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

91112 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$1,553.86Unavailable
Alaska$1,910.18Unavailable
Arizona$1,714.20Unavailable
Arkansas$1,526.57Unavailable
Atlanta, GA$1,795.25Unavailable
Austin, TX$1,865.33Unavailable
Bakersfield, CA$1,930.00Unavailable
Baltimore area, MD$1,892.90Unavailable
Beaumont, TX$1,614.42Unavailable
Brazoria, TX$1,751.80Unavailable

91112 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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.

$1,526.57

$2,226.11

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
91112 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,910.181
AL$1,553.861
AR$1,526.571
AZ$1,714.201
CA$1,929.62–$2,522.6029
CO$1,875.841
CT$1,899.861
DC$2,073.101
DE$1,746.901
FL$1,694.32–$1,841.863
GA$1,584.78–$1,795.252
GU$1,998.111
HI$1,998.111
IA$1,621.121
ID$1,629.851
IL$1,621.62–$1,816.084
IN$1,641.761
KS$1,602.821
KY$1,578.771
LA$1,572.13–$1,667.672
MA$1,857.52–$2,098.592
MD$1,788.00–$2,073.103
ME$1,630.34–$1,750.752
MI$1,620.17–$1,710.192
MN$1,814.061
MO$1,533.19–$1,685.873
MS$1,530.711
MT$1,767.231
NC$1,652.441
ND$1,765.261
NE$1,634.621
NH$1,836.341
NJ$1,926.28–$2,043.052
NM$1,627.191
NV$1,768.381
NY$1,681.48–$2,094.925
OH$1,619.771
OK$1,585.091
OR$1,759.47–$1,955.672
PA$1,628.03–$1,838.632
PR$1,785.841
RI$1,824.131
SC$1,637.891
SD$1,765.021
TN$1,611.411
TX$1,614.42–$1,865.338
UT$1,665.181
VA$1,737.44–$2,073.102
VI$1,785.841
VT$1,748.641
WA$1,857.19–$2,154.922
WI$1,693.721
WV$1,546.581
WY$1,766.371

How the 91112 rate is calculated

Each of 91112’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 · 91112

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.05

2.05 RVUs× 1.000 GPCI

Practice expense50.76

50.76 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

52.9100

Conversion factor

$33.4009

Medicare rate

$1,767.24

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 91112

The CMS indicators that decide how 91112 is paid alongside other services.

CMS payment indicators · 91112

Motility capsule, transit and pressure measurement

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

91112 without 26 · national office

$1,767.24

Motility capsule, transit and pressure measurement

91112-26 · Professional component

$110.89

Pays only the interpretation and report.

When to use modifier 26

91112 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 91112

    Motility capsule, transit and pressure measurement2.05 wRVU

    $1,767.24

  • 91110

    Capsule imaging, esophagus through ileum2.18 wRVU

    $802.29−$964.95

  • 91111

    Capsule imaging, esophagus only0.88 wRVU

    $956.94−$810.30

  • 91113

    Colon capsule imaging, colon segment2.35 wRVU

    $985.33−$781.91

  • 91117

    Colon motility, six-hour study2.39 wRVU

    Not priced

How to choose

91110Capsule imagingEsophagus through ileum
91110 is capsule endoscopy for visual examination through the esophagus and small bowel. Use 91112 for wireless measurement of gastrointestinal transit and pressure.
91111Capsule imagingEsophagus only
91111 describes visual capsule imaging focused on the esophagus. 91112 measures motility-related data as the capsule travels through the gastrointestinal tract.
91113Colon capsule imagingColon segment
91113 is colon capsule imaging, while 91112 measures transit and pressure rather than producing a visual colon examination.
91117Colon motilitySix-hour study
91117 describes a colon motility study. 91112 is the wireless capsule-based gastrointestinal transit and pressure measurement.

Codes related to 91112

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

Codes related to 91112
CodeHow it relatesNational office range
Used instead
91110Capsule imaging, esophagus through ileumCapsule imaging of the esophagus through ileum evaluates mucosa rather than transit and pressure.$698.40–$1,130.00
91111Capsule imaging, esophagus onlyEsophageal capsule imaging is a visual study, not a wireless motility measurement.$825.58–$1,368.63
91113Colon capsule imaging, colon segmentColon capsule imaging evaluates the colon visually rather than measuring gastrointestinal transit and pressure.$856.31–$1,391.76
91117Colon motility, six-hour studyA separate colon motility study may be selected when that is the test performed.No office rate

91112 billing questions

How is 91112 different from capsule endoscopy?

91112 measures gastrointestinal transit and pressure. Capsule endoscopy codes describe visual imaging of the digestive tract.

When should modifier 26 or TC be reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. A claim without either modifier represents the global service.

What documentation supports 91112?

Document the clinical concern, such as suspected delayed gastric emptying or slow transit, along with the capsule study, recorded data, and interpretation.

Is this code for a colonic motility study?

91112 covers wireless capsule measurement of gastrointestinal transit and pressure. 91117 describes a separate colon motility study, so select based on the test actually 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

Show the CMS file lines behind this rate
RVUs for 91112PPRRVU2026_Oct_nonQPP.csv, line 11,627 (RVU26D)

Open CMS sourceHow we calculate rates

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