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CPT 91111 — Gi trc img intral esophagus

CPT code 91111 (Gi trc img intral esophagus) carries 0.88 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 28.65 in a non-facility setting and 28.65 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $956.94 and $956.94 respectively.

0.88
Work RVU
28.65
Total RVU (non-facility)
$956.94
Medicare, non-facility
$956.94
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 91111

ComponentRVUsWhat it covers
Work RVU0.88Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)27.72Office overhead, staff, supplies.
Practice expense RVU (facility)27.72Overhead when performed in a hospital.
Malpractice RVU0.0Professional liability cost.
Total RVU (non-facility)28.65Work + non-facility PE + malpractice.
Total RVU (facility)28.65Work + facility PE + malpractice.

Professional and technical components

CPT 91111 can be split into professional (modifier 26) and technical (modifier TC) components.

ComponentWork RVUTotal RVU (non-fac)Total RVU (fac)
Modifier 260.881.431.43
Modifier TC0.027.2227.22

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 91111 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility28.65$33.40$956.94
Facility28.65$33.40$956.94

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 91111

Global period
Global concept does not apply to this code.
Multiple procedure reduction
No multiple-procedure payment reduction applies.
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

Questions about CPT 91111

How many work RVUs is CPT 91111?

CPT 91111 is assigned 0.88 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 91111?

At the 2026 national conversion factor of $33.40, CPT 91111 pays approximately $956.94 in a non-facility setting and $956.94 in a facility setting before geographic adjustment.

What is the global period for CPT 91111?

Global concept does not apply to this code.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.