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CMS RVU26D · Effective 2026-10-01

91111 in Merced

Office / nonfacility

$1045.54

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Gastrointestinal imaging

About 91111: Esophageal capsule imaging study

Reports capsule-based imaging limited to the esophagus, including the technical study and interpretation when performed as a complete service.

A patient swallows a miniature camera capsule that captures images as it passes through the esophagus. Gastroenterologists typically use this approach to assess the esophageal lining, including when capsule-based evaluation of suspected mucosal abnormalities or varices is selected. The study may be performed in an outpatient setting, with the patient wearing equipment that records the images for later review.

Report 91111 when the capsule imaging study is limited to the esophagus; use the documented study extent to distinguish it from imaging that covers additional gastrointestinal regions. The record should support the reason for the study, the esophageal imaging performed, and the resulting interpretation. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

CMS billing rules for 91111

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.88 · 3%
  • Practice expense (office) RVU27.72 · 97%
  • Malpractice RVU0.05 · 0%

169

Medicare services in 2024 · #4482 by national volume

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.

91111 compared with similar codes

Office rates for Merced, from the same CMS release.

91110

Capsule imaging

Esophagus through ileum

$871.87

Choose 91111 when the capsule study is limited to the esophagus. Choose 91110 when the study extends through the gastrointestinal tract to the ileum.

91113

Colon capsule imaging

Colon segment

$1,071.85

91113 reports capsule imaging of the colon; 91111 reports imaging limited to the esophagus.

91112

Motility capsule

Transit and pressure measurement

$1,929.62

91112 measures gastrointestinal transit and pressure using a wireless capsule. It is a physiologic study, not capsule imaging of esophageal mucosa.

43200

Esophagoscopy

Flexible scope with brushings

$306.89

43200 is direct flexible esophagoscopy. It uses an endoscope for visual examination, while 91111 uses images captured by a swallowed capsule.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 91111 is $1045.73—$0.19 higher than the $1045.54 rate in Merced. Both use the same code, release and participation basis.

91111 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $1045.54

  2. Bakersfield

    $1045.73

    $0.19 higher than Merced

  3. Chico

    $1045.54

    The same base rate than Merced

  4. El Centro

    $1045.55

    $0.01 higher than Merced

  5. Fresno

    $1045.54

    The same base rate than Merced

  6. The same base rate than Merced

  7. $81.47 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 91111 ranges from $825.58 in Arkansas to $1368.63 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Madera

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Modesto

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Napa

    California · 91111

    Office

    $1252.39

    Facility

    Unavailable

    $206.85 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 91111

    Office

    $1125.64

    Facility

    Unavailable

    $80.10 higher than Merced for the office setting.

  • Redding

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 91111

    Office

    $1046.10

    Facility

    Unavailable

    $0.56 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 91111

    Office

    $1108.14

    Facility

    Unavailable

    $62.60 higher than Merced for the office setting.

  • Salinas

    California · 91111

    Office

    $1104.29

    Facility

    Unavailable

    $58.75 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 91111

    Office

    $1138.52

    Facility

    Unavailable

    $92.98 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 91111

    Office

    $1338.43

    Facility

    Unavailable

    $292.89 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 91111

    Office

    $1338.38

    Facility

    Unavailable

    $292.84 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 91111

    Office

    $1368.63

    Facility

    Unavailable

    $323.09 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 91111

    Office

    $1368.40

    Facility

    Unavailable

    $322.86 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 91111

    Office

    $1085.36

    Facility

    Unavailable

    $39.82 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 91111

    Office

    $1155.84

    Facility

    Unavailable

    $110.30 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 91111

    Office

    $1110.68

    Facility

    Unavailable

    $65.14 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 91111

    Office

    $1168.14

    Facility

    Unavailable

    $122.60 higher than Merced for the office setting.

  • Stockton

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 91111

    Office

    $1252.31

    Facility

    Unavailable

    $206.77 higher than Merced for the office setting.

  • Visalia

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 91111

    Office

    $1045.54

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 91111

    Office

    $1123.52

    Facility

    Unavailable

    $77.98 higher than Merced for the office setting.

  • Miami

    Florida · 91111

    Office

    $997.45

    Facility

    Unavailable

    $48.09 lower than Merced for the office setting.

  • Chicago

    Illinois · 91111

    Office

    $963.93

    Facility

    Unavailable

    $81.61 lower than Merced for the office setting.

  • Manhattan

    New York · 91111

    Office

    $1109.79

    Facility

    Unavailable

    $64.25 higher than Merced for the office setting.

  • Alaska*

    Alaska · 91111

    Office

    $1031.06

    Facility

    Unavailable

    $14.48 lower than Merced for the office setting.

  • Alabama

    Alabama · 91111

    Office

    $840.48

    Facility

    Unavailable

    $205.06 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 91111

    Office

    $825.58

    Facility

    Unavailable

    $219.96 lower than Merced for the office setting.

  • Arizona

    Arizona · 91111

    Office

    $927.99

    Facility

    Unavailable

    $117.55 lower than Merced for the office setting.

  • Colorado

    Colorado · 91111

    Office

    $1016.18

    Facility

    Unavailable

    $29.36 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 91111

    Office

    $1029.17

    Facility

    Unavailable

    $16.37 lower than Merced for the office setting.

  • Delaware

    Delaware · 91111

    Office

    $945.80

    Facility

    Unavailable

    $99.74 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 91111

    Office

    $970.32

    Facility

    Unavailable

    $75.22 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 91111

    Office

    $917.04

    Facility

    Unavailable

    $128.50 lower than Merced for the office setting.

  • Atlanta

    Georgia · 91111

    Office

    $972.17

    Facility

    Unavailable

    $73.37 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 91111

    Office

    $857.26

    Facility

    Unavailable

    $188.28 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 91111

    Office

    $1083.08

    Facility

    Unavailable

    $37.54 higher than Merced for the office setting.

  • Iowa

    Iowa · 91111

    Office

    $877.23

    Facility

    Unavailable

    $168.31 lower than Merced for the office setting.

  • Idaho

    Idaho · 91111

    Office

    $881.99

    Facility

    Unavailable

    $163.55 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 91111

    Office

    $884.56

    Facility

    Unavailable

    $160.98 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 91111

    Office

    $877.33

    Facility

    Unavailable

    $168.21 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 91111

    Office

    $983.43

    Facility

    Unavailable

    $62.11 lower than Merced for the office setting.

  • Indiana

    Indiana · 91111

    Office

    $888.49

    Facility

    Unavailable

    $157.05 lower than Merced for the office setting.

  • Kansas

    Kansas · 91111

    Office

    $867.22

    Facility

    Unavailable

    $178.32 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 91111

    Office

    $854.02

    Facility

    Unavailable

    $191.52 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 91111

    Office

    $902.54

    Facility

    Unavailable

    $143.00 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 91111

    Office

    $850.39

    Facility

    Unavailable

    $195.15 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 91111

    Office

    $1137.58

    Facility

    Unavailable

    $92.04 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 91111

    Office

    $1006.14

    Facility

    Unavailable

    $39.40 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 91111

    Office

    $1025.39

    Facility

    Unavailable

    $20.15 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 91111

    Office

    $968.20

    Facility

    Unavailable

    $77.34 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 91111

    Office

    $882.23

    Facility

    Unavailable

    $163.31 lower than Merced for the office setting.

  • Southern Maine

    Maine · 91111

    Office

    $947.99

    Facility

    Unavailable

    $97.55 lower than Merced for the office setting.

  • Detroit

    Michigan · 91111

    Office

    $925.68

    Facility

    Unavailable

    $119.86 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 91111

    Office

    $876.60

    Facility

    Unavailable

    $168.94 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 91111

    Office

    $982.61

    Facility

    Unavailable

    $62.93 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 91111

    Office

    $900.42

    Facility

    Unavailable

    $145.12 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 91111

    Office

    $912.50

    Facility

    Unavailable

    $133.04 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 91111

    Office

    $829.12

    Facility

    Unavailable

    $216.42 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 91111

    Office

    $827.80

    Facility

    Unavailable

    $217.74 lower than Merced for the office setting.

  • Montana**

    Montana · 91111

    Office

    $956.93

    Facility

    Unavailable

    $88.61 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 91111

    Office

    $894.30

    Facility

    Unavailable

    $151.24 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 91111

    Office

    $955.94

    Facility

    Unavailable

    $89.60 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 91111

    Office

    $884.60

    Facility

    Unavailable

    $160.94 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 91111

    Office

    $994.69

    Facility

    Unavailable

    $50.85 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 91111

    Office

    $1107.04

    Facility

    Unavailable

    $61.50 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 91111

    Office

    $1043.45

    Facility

    Unavailable

    $2.09 lower than Merced for the office setting.

  • New Mexico

    New Mexico · 91111

    Office

    $880.42

    Facility

    Unavailable

    $165.12 lower than Merced for the office setting.

  • Nevada**

    Nevada · 91111

    Office

    $957.58

    Facility

    Unavailable

    $87.96 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 91111

    Office

    $1135.24

    Facility

    Unavailable

    $89.70 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 91111

    Office

    $1046.57

    Facility

    Unavailable

    $1.03 higher than Merced for the office setting.

  • Queens

    New York · 91111

    Office

    $1128.06

    Facility

    Unavailable

    $82.52 higher than Merced for the office setting.

  • Rest Of New York

    New York · 91111

    Office

    $910.15

    Facility

    Unavailable

    $135.39 lower than Merced for the office setting.

  • Ohio

    Ohio · 91111

    Office

    $876.40

    Facility

    Unavailable

    $169.14 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 91111

    Office

    $857.49

    Facility

    Unavailable

    $188.05 lower than Merced for the office setting.

  • Portland

    Oregon · 91111

    Office

    $1059.75

    Facility

    Unavailable

    $14.21 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 91111

    Office

    $952.74

    Facility

    Unavailable

    $92.80 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 91111

    Office

    $995.75

    Facility

    Unavailable

    $49.79 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 91111

    Office

    $880.92

    Facility

    Unavailable

    $164.62 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 91111

    Office

    $967.10

    Facility

    Unavailable

    $78.44 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 91111

    Office

    $987.87

    Facility

    Unavailable

    $57.67 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 91111

    Office

    $886.32

    Facility

    Unavailable

    $159.22 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 91111

    Office

    $955.83

    Facility

    Unavailable

    $89.71 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 91111

    Office

    $871.91

    Facility

    Unavailable

    $173.63 lower than Merced for the office setting.

  • Austin

    Texas · 91111

    Office

    $1010.50

    Facility

    Unavailable

    $35.04 lower than Merced for the office setting.

  • Beaumont

    Texas · 91111

    Office

    $873.49

    Facility

    Unavailable

    $172.05 lower than Merced for the office setting.

  • Brazoria

    Texas · 91111

    Office

    $948.47

    Facility

    Unavailable

    $97.07 lower than Merced for the office setting.

  • Dallas

    Texas · 91111

    Office

    $953.26

    Facility

    Unavailable

    $92.28 lower than Merced for the office setting.

  • Fort Worth

    Texas · 91111

    Office

    $944.02

    Facility

    Unavailable

    $101.52 lower than Merced for the office setting.

  • Galveston

    Texas · 91111

    Office

    $950.40

    Facility

    Unavailable

    $95.14 lower than Merced for the office setting.

  • Houston

    Texas · 91111

    Office

    $951.32

    Facility

    Unavailable

    $94.22 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 91111

    Office

    $909.55

    Facility

    Unavailable

    $135.99 lower than Merced for the office setting.

  • Utah

    Utah · 91111

    Office

    $901.21

    Facility

    Unavailable

    $144.33 lower than Merced for the office setting.

  • Virginia

    Virginia · 91111

    Office

    $940.70

    Facility

    Unavailable

    $104.84 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 91111

    Office

    $967.10

    Facility

    Unavailable

    $78.44 lower than Merced for the office setting.

  • Vermont

    Vermont · 91111

    Office

    $946.85

    Facility

    Unavailable

    $98.69 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 91111

    Office

    $1005.99

    Facility

    Unavailable

    $39.55 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 91111

    Office

    $1168.27

    Facility

    Unavailable

    $122.73 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 91111

    Office

    $916.89

    Facility

    Unavailable

    $128.65 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 91111

    Office

    $836.37

    Facility

    Unavailable

    $209.17 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 91111

    Office

    $956.50

    Facility

    Unavailable

    $89.04 lower than Merced for the office setting.

See how rates vary across the country

91111 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$825.58

$1,207.09

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,031.061
AL$840.481
AR$825.581
AZ$927.991
CA$1,045.54–$1,368.6329
CO$1,016.181
CT$1,029.171
DC$1,123.521
DE$945.801
FL$917.04–$997.453
GA$857.26–$972.172
GU$1,083.081
HI$1,083.081
IA$877.231
ID$881.991
IL$877.33–$983.434
IN$888.491
KS$867.221
KY$854.021
LA$850.39–$902.542
MA$1,006.14–$1,137.582
MD$968.20–$1,123.523
ME$882.23–$947.992
MI$876.60–$925.682
MN$982.611
MO$829.12–$912.503
MS$827.801
MT$956.931
NC$894.301
ND$955.941
NE$884.601
NH$994.691
NJ$1,043.45–$1,107.042
NM$880.421
NV$957.581
NY$910.15–$1,135.245
OH$876.401
OK$857.491
OR$952.74–$1,059.752
PA$880.92–$995.752
PR$967.101
RI$987.871
SC$886.321
SD$955.831
TN$871.911
TX$873.49–$1,010.508
UT$901.211
VA$940.70–$1,123.522
VI$967.101
VT$946.851
WA$1,005.99–$1,168.272
WI$916.891
WV$836.371
WY$956.501

Explore 91111 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 91111 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1150.09

$1045.54 × 110% = $1150.09

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 91111 in Merced.

PPRRVU2026_Oct_nonQPP.csv

11,624

Code
91111
Physician work
0.88
Practice expense
27.72
Malpractice
0.05

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 91111 in Merced
ComponentRVULocality factorAdjusted
Physician work0.88× 1.0170.8950
Practice expense27.72× 1.09630.3811
Malpractice0.05× 0.5360.0268
Total RVUs31.3029
Conversion factor× 33.4009

Office / nonfacility rate, Merced$1045.54

Open 91111 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.881.017
Practice expense27.721.096
Malpractice0.050.536

(0.88 × 1.017 + 27.72 × 1.096 + 0.05 × 0.536) × $33.4009 = $1045.54

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

91111 · Office / nonfacility

$1045.54

Effective 2026-10-01

The base rate is $170.14 higher than on 2025-10-01, moving from $875.40 to $1045.54 (19.4%).

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

    $875.40changed to$1045.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.90 changed to 0.88
    • Practice expense RVU 23.90 changed to 27.72
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $875.40

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$1045.54Not available in this settingRVU26D
2026-07-01$1045.54Not available in this settingRVU26C
2026-04-01$1045.54Not available in this settingRVU26B
2026-01-01$1045.54Not available in this settingRVU26A
2025-10-01$875.40Not available in this settingRVU25D
2025-07-01$875.40Not available in this settingRVU25C
2025-04-01$875.40Not available in this settingRVU25B
2025-01-01$875.40Not available in this settingRVU25A

91111 billing questions

How does 91111 differ from 91110?

91111 is for capsule imaging limited to the esophagus. 91110 covers a broader examination extending from the esophagus through the ileum.

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. Report the global service without either modifier when billing both components together.

Does 91111 include the image interpretation?

The professional component represents the interpretation. When billed globally, the service includes both the technical component and professional interpretation.

Should each capsule image be billed as a separate unit?

No. The code represents the esophageal capsule imaging study, not individual captured images.

What documentation supports reporting 91111?

Document the clinical reason, that capsule imaging was limited to the esophagus, and the study findings and interpretation. The documented extent helps distinguish 91111 from broader gastrointestinal capsule imaging.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 91111PPRRVU2026_Oct_nonQPP.csv, line 11,624 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)