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Code edit notification

Notification Number: 3589

Effective date: 4/5/2018

Notification date: 1/5/2018

Category: CPT

Topic: Gastrointestinal (GI) motility monitoring

Providers affected:

  • Inpatient/Outpatient Facilities
  • Physician/Health Care Providers
What is changing?

We will not reimburse charges for the following GI motility monitoring services because the services are not covered:

  • CPT code 91020 – Gastric motility (manometric) studies
  • CPT code 91022 – Duodenal motility (manometric) study
  • CPT code 91117 – Colon motility (manometric) study, minimum six hours continuous recording (including provocation tests, e.g., meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretation and report
  • CPT code 91132 – Electrogastrography, diagnostic, transcutaneous
  • CPT code 91133 – Electrogastrography, diagnostic, transcutaneous; with provocative testing
Why is Humana implementing this change?

Humana's GI motility monitoring policy has been updated to indicate that the services above are not covered expenses.

For more information, refer to Humana's Medical and Pharmacy Coverage Policies page and search by keywords “GI motility.”

Impacted products

  • Commercial fully insured products

Disclaimer

*All edits previously posted on Humana.com/providers for fully insured commercial Humana members may be applied to self-funded members, when requested by the self-funded group.