Palmetto GBA
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CPT codes, descriptions, and other data only are copyright 2008 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

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West Virginia Part B Carrier
Wireless Capsule Endoscopy

CPT code 91111 describes capsule endoscopy limited to the esophagus. Medicare generally does not cover screening, therefore CPT code 91111 when used to screen patients for esophageal varices or Barrett's metaplasia is not covered.

Currently there are no published reports that establish the medical necessity of capsule endoscopy limited to the esophagus as a diagnostic procedure and therefore Palmetto GBA will not cover it.

 

last updated on 12/22/2008
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