Gastroenterology Coding Alert

Repeat studies demand this modifier.When your gastroenterologist uses capsule study to obtain an image of the gastrointestinal tract, you can use two choices to report the procedure -- but there are a few rules to follow. Ask these three questions to perfect your capsule study claims. Hint: If you know how to distinguishing between 91110 and 91111 by telling what part of the anatomy your physician is visualizing or evaluating, then you're already one step ahead of the challenge.You have two choices for coding this procedure: 91110 (Gastrointestinal tract imaging, intraluminal [e.g., capsule endoscopy], esophagus through ileum, with physician interpretation and report), if your physician used the capsule study to image the intraluminal esophagus through the ileum (also including the stomach, duodenum, and jejunum)91111 (Gastrointestinal tract imaging, intraluminal[e.g., capsule endoscopy], esophagus with physician interpretation and report), if your gastroenterologist performed imaging or study of the esophagus only, with interpretation and reportDifference: 91110 is [...]