PillCam ESO on the road to reimbursement
This article was originally published in The Gray Sheet
Executive Summary
Given Imaging's miniature camera pill for detecting esophageal disorders should be described by CPT code 91110 along with a modifier 52, according to CMS. The decision will allow hospitals to uniformly report the procedure, with payment to be decided on a case-by-case basis until a coverage policy is determined. With coding in place, Given will be able to focus on securing coverage. The firm's first product - PillCam SB for small bowel disorder detection - is reimbursed under CPT code 91110 (1"The Gray Sheet" Nov. 17, 2003, p. 7)...