Endoscopy by Capsule
J15 · Effective Oct 1, 2015
2 active Medicare policies list 91299, 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
National · Effective Mar 5, 2026
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 91299 |
|---|---|---|
| Cigna Commercial Other Services Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 91299 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 91299 |
|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
|---|
| Policy | Effective | Status of 91299 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91299 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91299 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91299 |
|---|---|---|
| Capsule Endoscopy | Feb 2, 2026 | Covered |
| Policy | Effective | Status of 91299 |
|---|---|---|
| Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 91299 |
|---|---|---|
| Capsule Endoscopy | Not recorded | Covered |