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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Gastroenterology Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $485.65 national non-facility rate (2026) · View Medicare rates for 91132 |
| Medicaid Fee Schedule | $383.89 median of the 7 states in the free preview · View Medicaid rates for 91132 |
National average reimbursement for CPT 91132 by major payers:

$422.30

$296.00

$417.58

$499.05
Choose a payer to see a sample of rates for CPT 91132.
Rebecca Gilfillan
Advocate Health And Hospitals Corporation
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Majed Dalloul
Saint Anthony Health Affiliates
Angela Green
Betsy Ostrander
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 91132 vs. Other Gastroenterology Procedures Codes
The CPT 91132 code is part of the Medicine Services and Procedures services used for Gastroenterology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 91132 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 91117-CPT | Low | Study Of Intestinal Movement, The Study Lasts At Least Six Hours And Is Designed To Provide Information For Constipation Treatment. A Tube Is Inserted Into The Intestines To Record Muscle Movement And Pressure. A Meal Or Drugs May Be Given To Stimulate The Intestines For The Study. |
| 91132-CPT | Moderate | Electrogastrography, Diagnostic, Transcutaneous |
| 91133-CPT | Moderate | Electrogastrography Diagnos Transcutaneous; W/ Provocative Test, Electrogastrography Diagnostic Transcutaneous; With Provocative Test |
| 91299-CPT | Moderate | Unlisted Diagnos Gastroenterology Proc, Unlisted Diagnostic Gastroenterology Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 91132. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 91132 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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