CPT 91022
Global 000 ActiveDuodenal motility study
CPT 91022 Billing & Documentation Guide
CPT code 91022 (Duodenal motility study) is classified under Gastro Diagnostics with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.4, a non-facility practice expense RVU of 4.34, and a malpractice RVU of 0.07, a total non-facility RVU of 5.81 and facility RVU of 5.81. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $201, though rates vary from $172.49 to $262.19 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 91022, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 91022 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 91022 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 91022
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.4 | 1.4 |
| Practice Expense RVU | 4.34 | 4.34 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 5.81 | 5.81 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 91022
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $221.23 | $221.23 | $207.69 - $262.19 | 29 |
| Florida | $196.76 | $196.76 | $188.86 - $203.58 | 3 |
| Georgia | $187.92 | $187.92 | $178.85 - $196.99 | 2 |
| Illinois | $191.46 | $191.46 | $182.76 - $200.11 | 4 |
| Michigan | $186.17 | $186.17 | $181.75 - $190.59 | 2 |
| North Carolina | $183.5 | $183.5 | $183.5 - $183.5 | 1 |
| New York | $213.88 | $213.88 | $186.12 - $226.45 | 5 |
| Ohio | $181.47 | $181.47 | $181.47 - $181.47 | 1 |
| Pennsylvania | $191.67 | $191.67 | $182.04 - $201.3 | 2 |
| Texas | $191.9 | $191.9 | $180.85 - $202.29 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 91022
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 91022 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0216T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 91022
What does CPT code 91022 mean? +
CPT code 91022 represents: Duodenal motility study. It's in the Gastro Diagnostics category with a global period of 000.
What is the Medicare reimbursement for CPT 91022? +
The 2026 Medicare national average non-facility payment for CPT 91022 is $201. Rates range from $172.49 to $262.19 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 91022? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 91022? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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