$849.00
91110 is capsule endoscopy for visual examination through the esophagus and small bowel. Use 91112 for wireless measurement of gastrointestinal transit and pressure.
On this page
CMS RVU26D · Effective 2026-10-01
91112 Motility capsule Medicare reimbursement rates in Colorado
A swallowed wireless capsule records gastrointestinal transit and pressure to evaluate suspected motility disorders, including delayed gastric emptying or slow intestinal transit. Compare 91112 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 91112 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$1875.84
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gastrointestinal motility
About 91112: Wireless gastrointestinal motility capsule study
A swallowed wireless capsule records gastrointestinal transit and pressure to evaluate suspected motility disorders, including delayed gastric emptying or slow intestinal transit.
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.
CMS billing rules for 91112
- 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 RVU2.05 · 4%
- Practice expense (office) RVU50.76 · 96%
- Malpractice RVU0.10 · 0%
90
Medicare services in 2024 · #4966 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.
91112 compared with similar codes
Office rates for Colorado, from the same CMS release.
$1,016.18
91111 describes visual capsule imaging focused on the esophagus. 91112 measures motility-related data as the capsule travels through the gastrointestinal tract.
$1,043.36
91113 is colon capsule imaging, while 91112 measures transit and pressure rather than producing a visual colon examination.
No office rate
91117 describes a colon motility study. 91112 is the wireless capsule-based gastrointestinal transit and pressure measurement.
Compare 91112 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$1875.84
Facility
Unavailable
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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 91112 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
11,627
- Code
- 91112
- Physician work
- 2.05
- Practice expense
- 50.76
- Malpractice
- 0.10
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.012 | 2.0746 |
| Practice expense | 50.76 | × 1.064 | 54.0086 |
| Malpractice | 0.10 | × 0.781 | 0.0781 |
| Total RVUs | 56.1613 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$1875.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1.012 |
| Practice expense | 50.76 | 1.064 |
| Malpractice | 0.1 | 0.781 |
(2.05 × 1.012 + 50.76 × 1.064 + 0.1 × 0.781) × $33.4009 = $1875.84
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.
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 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.
11,62491111,,Gi trc img intral esophagus,A,,0.88,27.72,,27.72,NA,0.05,28.65,28.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,28.24,28.24,0.05
11,62591111,26,Gi trc img intral esophagus,A,,0.88,0.51,,0.51,,0.04,1.43,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,62691111,TC,Gi trc img intral esophagus,A,,0.00,27.21,,27.21,NA,0.01,27.22,27.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,27.73,27.73,0.01
11,62791112,,Gi wireless capsule measure,A,,2.05,50.76,,50.76,NA,0.10,52.91,52.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,62891112,26,Gi wireless capsule measure,A,,2.05,1.19,,1.19,,0.08,3.32,3.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,62991112,TC,Gi wireless capsule measure,A,,0.00,49.57,,49.57,NA,0.02,49.59,49.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,63091113,,Gi trc img intral colon i&r,A,,2.35,27.05,,27.05,NA,0.10,29.50,29.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,29.80,29.80,0.10
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899