Endoscopy by Capsule
J15 · Effective Oct 1, 2015
10 active Medicare policies list 91110, and 10 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Jan 25, 2016
JM · Effective Jan 25, 2016
National · Effective Mar 5, 2026
J9 · Effective Mar 10, 2022
National · Effective Oct 1, 2025
JL · Effective Jan 1, 2022
10 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 91110 |
|---|---|---|
| Barrett's Esophagus | Aug 2, 2023 | Covered |
| Capsule Endoscopy | Aug 30, 2023 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Aug 1, 2026 |
| Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Capsule Endoscopy | Feb 2, 2026 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91110 |
|---|---|---|
| Capsule Endoscopy | Not recorded | Covered |