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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