CPT 91110
Global XXX ActiveGi trc img intral esoph-ile
CPT 91110 Billing & Documentation Guide
CPT code 91110 (Gi trc img intral esoph-ile) is classified under Gastro Diagnostics with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.18, a non-facility practice expense RVU of 21.75, and a malpractice RVU of 0.09, a total non-facility RVU of 24.02 and facility RVU of 24.02. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $835.04, though rates vary from $698.4 to $1130 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 91110, 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 91110 with related codes; this code has 8 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 91110 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 91110
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.18 | 2.18 |
| Practice Expense RVU | 21.75 | 21.75 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 24.02 | 24.02 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 91110
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 | $936.67 | $936.67 | $871.87 - $1130 | 29 |
| Florida | $807.56 | $807.56 | $771.84 - $836.67 | 3 |
| Georgia | $769.58 | $769.58 | $724.41 - $814.74 | 2 |
| Illinois | $780.76 | $780.76 | $740.78 - $824.73 | 4 |
| Michigan | $759.2 | $759.2 | $739.47 - $778.93 | 2 |
| North Carolina | $752.53 | $752.53 | $752.53 - $752.53 | 1 |
| New York | $890.8 | $890.8 | $765.07 - $946.83 | 5 |
| Ohio | $739.11 | $739.11 | $739.11 - $739.11 | 1 |
| Pennsylvania | $788.26 | $788.26 | $742.55 - $833.97 | 2 |
| Texas | $791.22 | $791.22 | $736.69 - $844.23 | 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 91110
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 91110 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0242T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0355T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0651T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 91111 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 91112 | Column 2 (secondary), bundled into primary | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 91110
What does CPT code 91110 mean? +
CPT code 91110 represents: Gi trc img intral esoph-ile. It's in the Gastro Diagnostics category with a global period of XXX.
What is the Medicare reimbursement for CPT 91110? +
The 2026 Medicare national average non-facility payment for CPT 91110 is $835.04. Rates range from $698.4 to $1130 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 91110? +
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 91110? +
This code has 8 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 May 31, 2026.
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