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Pillcam
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Capsule Endoscopy – Medicare Advantage Policy Guideline
www.uhcprovider.comverify adequate patency of the gastrointestinal tract prior to administration of the PillCam video capsule in patients with known or suspected strictures. There are insufficient studies available to support coverage. Guidelines – Wireless Gastrointestinal Motility Monitoring Systems (CPT code 91112) Coverage Indications