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Ingestible pH and Pressure Capsule

Blue Cross & Blue Shield of Mississippi·Gastroenterology, Internal Medicine, Family Medicine·Medical Policy
Effective date
Aug 1, 2025
We identified it
Jun 20, 2026
Days to comply
—

Summary

The SmartPill GI Monitoring System (ingestible pH and pressure capsule) remains classified as investigational for evaluating gastroparesis, constipation, and other GI motility disorders. No coverage policy changes occurred - this is a routine annual review with no modifications to the existing non-coverage stance.

Action Required

Action needed
No action required. Continue current practice of not billing CPT 91112 for SmartPill procedures as they remain non-covered investigational services. Inform patients that this service is not covered by insurance if requested.

Affected Billing Codes

91112