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

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, 2026One payment locality90 Medicare services in 2024

In Connecticut, Medicare pays $1,899.86 for 91112 in the office.

$1,899.86Office (non-facility)
Not available in this settingHospital or facility
+7.5%vs the national office rate ($1,767.24)

Check a contract rate as a % of Medicare · 91112 nationwide

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

We’ll open 91112 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 91112 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Connecticut compares for 91112

Across 109 of 109 payment localities, the office rate for 91112 runs from $1,526.57 in Arkansas to $2,522.60 in San Benito County, CA. Connecticut pays $1,899.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

91112 in Connecticut vs other payment areas
  1. Connecticut · this page$1,899.86
  2. Los Angeles, CA · California$2,079.19+$179.33
  3. Washington, DC area · District of Columbia$2,073.10+$173.24
  4. Miami, FL · Florida$1,841.86−$58.00
  5. Chicago, IL · Illinois$1,780.52−$119.34
  6. Manhattan, NY · New York$2,048.24+$148.38
  7. Alaska · Alaska$1,910.18+$10.32

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

91112 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,553.86—
ArkansasArkansas$1,526.57—
ArizonaArizona$1,714.20—
Bakersfield, CACalifornia$1,930.00—
Chico, CACalifornia$1,929.62—
El Centro, CACalifornia$1,929.63—
Fresno, CACalifornia$1,929.62—
Hanford, CACalifornia$1,929.62—

91112 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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

See 91112 in every payment locality

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.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,627

Code
91112
Physician work
2.05
Practice expense
50.76
Malpractice
0.10

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 91112 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0202.0910
Practice expense50.76× 1.07754.6685
Malpractice0.10× 1.2100.1210
Total RVUs56.8805
Conversion factor× 33.4009

Office rate, Connecticut$1899.86

Office: (2.05 × 1.02 + 50.76 × 1.077 + 0.1 × 1.21) × $33.4009 = $1899.86

Open 91112 in the RVU calculator

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

Codes related to 91112

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

Codes related to 91112
CodeHow it relatesOffice range, Connecticut
Used instead
91110Capsule imaging, esophagus through ileumCapsule imaging of the esophagus through ileum evaluates mucosa rather than transit and pressure.$860.32
91111Capsule imaging, esophagus onlyEsophageal capsule imaging is a visual study, not a wireless motility measurement.$1,029.17
91113Colon capsule imaging, colon segmentColon capsule imaging evaluates the colon visually rather than measuring gastrointestinal transit and pressure.$1,057.17
91117Colon motility, six-hour studyA separate colon motility study may be selected when that is the test performed.No office rate

How 91112 has changed in Connecticut

91112 · Office / nonfacility

$1899.86

Effective 2026-10-01

The base rate is $291.81 higher than on 2025-10-01, moving from $1608.05 to $1899.86 (18.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $1608.05changed to$1899.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.10 changed to 2.05
    • Practice expense RVU 43.50 changed to 50.76
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1748.53changed to$1608.05

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 46.08 changed to 43.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1719.99changed to$1748.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1840.67changed to$1719.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 47.23 changed to 46.08
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $1993.05changed to$1840.67

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 49.66 changed to 47.23
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1906.76changed to$1993.05

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 47.04 changed to 49.66
    • Malpractice RVU 0.07 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1640.05changed to$1906.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 38.80 changed to 47.04
    • Malpractice RVU 0.09 changed to 0.07
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1428.73changed to$1640.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 33.61 changed to 38.80
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1215.40changed to$1428.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 28.32 changed to 33.61

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1210.08changed to$1215.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 28.14 changed to 28.32
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1215.34changed to$1210.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 28.23 changed to 28.14
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1233.39changed to$1215.34

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 28.58 changed to 28.23
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1227.25changed to$1233.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1201.64changed to$1227.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 28.02 changed to 28.58
    • Malpractice RVU 0.10 changed to 0.11
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1311.92changed to$1201.64

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 32.69 changed to 28.02
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1311.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,899.86Not available in this settingRVU26D
2026-07-01$1,899.86Not available in this settingRVU26C
2026-04-01$1,899.86Not available in this settingRVU26B
2026-01-01$1,899.86Not available in this settingRVU26A
2025-10-01$1,608.05Not available in this settingRVU25D
2025-07-01$1,608.05Not available in this settingRVU25C
2025-04-01$1,608.05Not available in this settingRVU25B
2025-01-01$1,608.05Not available in this settingRVU25A
2024-10-01$1,748.53Not available in this settingRVU24D
2024-07-01$1,748.53Not available in this settingRVU24C
2024-04-01$1,748.53Not available in this settingRVU24B
2024-03-09$1,748.53Not available in this settingRVU24AR
2024-01-01$1,719.99Not available in this settingRVU24A
2023-10-01$1,840.67Not available in this settingRVU23D
2023-07-01$1,840.67Not available in this settingRVU23C
2023-04-01$1,840.67Not available in this settingRVU23B
2023-01-01$1,840.67Not available in this settingRVU23A
2022-10-01$1,993.05Not available in this settingRVU22D
2022-07-01$1,993.05Not available in this settingRVU22C
2022-04-01$1,993.05Not available in this settingRVU22B
2022-01-01$1,993.05Not available in this settingRVU22A
2021-10-01$1,906.76Not available in this settingRVU21D
2021-07-01$1,906.76Not available in this settingRVU21C
2021-04-01$1,906.76Not available in this settingRVU21B
2021-01-01$1,906.76Not available in this settingRVU21A
2020-10-01$1,640.05Not available in this settingRVU20D
2020-07-01$1,640.05Not available in this settingRVU20C
2020-04-01$1,640.05Not available in this settingRVU20B
2020-01-01$1,640.05Not available in this settingRVU20A
2019-10-01$1,428.73Not available in this settingRVU19D
2019-07-01$1,428.73Not available in this settingRVU19C
2019-04-01$1,428.73Not available in this settingRVU19B
2019-01-01$1,428.73Not available in this settingRVU19A
2018-10-01$1,215.40Not available in this settingRVU18D
2018-07-01$1,215.40Not available in this settingRVU18C
2018-04-01$1,215.40Not available in this settingRVU18B
2018-01-01$1,215.40Not available in this settingRVU18AR1
2017-10-01$1,210.08Not available in this settingRVU17D
2017-07-01$1,210.08Not available in this settingRVU17C
2017-04-01$1,210.08Not available in this settingRVU17B
2017-01-01$1,210.08Not available in this settingRVU17A
2016-10-01$1,215.34Not available in this settingRVU16D
2016-07-01$1,215.34Not available in this settingRVU16C
2016-04-01$1,215.34Not available in this settingRVU16B
2016-01-01$1,215.34Not available in this settingRVU16A
2015-10-01$1,233.39Not available in this settingRVU15D
2015-07-01$1,233.39Not available in this settingRVU15C
2015-04-01$1,227.25Not available in this settingRVU15B
2015-01-01$1,227.25Not available in this settingRVU15A
2014-10-01$1,201.64Not available in this settingRVU14D
2014-07-01$1,201.64Not available in this settingRVU14C
2014-04-01$1,201.64Not available in this settingRVU14B
2014-01-01$1,201.64Not available in this settingRVU14A
2013-10-01$1,311.92Not available in this settingRVU13D
2013-07-01$1,311.92Not available in this settingRVU13C
2013-04-01$1,311.92Not available in this settingRVU13B
2013-01-01$1,311.92Not available in this settingRVU13AR

Price 91112 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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