Nineteen gastrointestinal diagnostic codes, spanning esophageal motility studies, capsule endoscopies and breath tests, have been added to the ASC-covered services list, a move that could expand access to specialized GI testing in outpatient settings and reshape how facilities bill for these procedures.
Here are the 19 procedures:
| CPT | Description |
| 91010 | Esophageal motility (manometric) study with interpretation |
| 91020 | Gastric motility (manometric) study |
| 91022 | Duodenal motility (manometric) study |
| 91030 | Esophageal acid perfusion (Bernstein) test for esophagitis |
| 91034 | Esophageal gastroesophageal reflux test – nasal catheter pH electrode(s) |
| 91037 | Esophageal function test – gastroesophageal reflux with nasal catheter intraluminal impedance |
| 91038 | Esophageal function test – gastroesophageal reflux with impedance, prolonged (up to 24 hours) |
| 91040 | Esophageal balloon distension study with provocation |
| 91065 | Breath hydrogen or methane test (e.g., for lactase deficiency, bacterial overgrowth) |
| 91110 | Capsule endoscopy – esophagus through ileum |
| 91111 | Capsule endoscopy – esophagus only |
| 91112 | Gastrointestinal transit and pressure measurement – stomach through colon, wireless capsule |
| 91113 | Capsule endoscopy – colon |
| 91117 | Colon motility (manometric) study – minimum 6 hours continuous recording |
| 91124 | Rectal sensation, tone, and compliance study (e.g., barostat) |
| 91125 | Anorectal manometry with rectal sensation and rectal balloon expulsion test |
| 0977T | Upper GI blood detection – sensor capsule with interpretation |
| 9779 | Endoscopic submucosal dissection |
| 9901 | Endoscopic defect closure throughout the gastrointestinal tract |
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
