Boston Specialists is now offering capsule endoscopies with CapsoCam Plus®!

Boston Specialists is now offering CapsoCam Plus®, the only small bowel capsule endoscopy system in the world with a 360° panoramic view of the small bowel. Unlike other products, CapsoCam Plus requires no wires, belts or sedation. Patients simply swallow a capsule that takes thousands of images as it travels effortlessly through the digestive system. All of the diagnostic data is stored on-board the capsule. As a result, our patients at Boston Specialists receive a convenient exam while their doctor achieves a comprehensive view as the capsule passes through the digestive tract. When the exam is complete, patients can easily collect the capsule using a specially designed CapsoRetrieve® capsule retrieval kit and then return via FedEx in a prepaid envelope to CapsoVision. It’s that simple.

 About Capsule Endoscopies

  • Capsule endoscopy allows your doctor to see the inside of your digestive system. Unlike traditional endoscopic exams with a camera on a flexible tube, capsule endoscopy uses a camera inside a pill-like capsule. You swallow the capsule at our office, and it travels through your digestive system, taking images along the way.

  • We recommend capsule endoscopy for patients experiencing these conditions and symptoms:

    - Unexplained gastrointestinal bleeding

    - Suspected inflammatory bowel disease (IBD)

    - Evaluating Crohn’s Disease

    - Diagnosing celiac disease

    - Searching for small intestine tumors or polyps

  • CapsoCam Plus is cleared by the United States Food and Drug Administration and serves as a tool in the detection of abnormalities of the small bowel by offering a full panoramic, direct lateral view of the small bowel mucosa.

    - High resolution visualization provides the most comprehensive imaging available today.

    - Detailed imaging by CapsoCam Plus may allow for greater diagnostic yield and its use of a large-capacity, on-board storage system eliminates the need for external receiver equipment.

    - Cloud-based, HIPAA-compliant capsule endoscopy software provides a patient’s provider with easy access to their secure exam data, improving convenience and satisfaction.

Insurance Coverage

We understand the importance of insurance coverage. Please check with your insurance provider to determine if capsule endoscopy is covered. Our knowledgeable staff is here to assist you with insurance-related inquiries and understand your coverage and potential costs. Factors such as the reason for the procedure and your medical history may influence coverage, and prior authorization might be necessary in some cases. CPT code 91111 should be reported. CPT code 91111 requires a KX modifier to be appended to document that no contraindication exists for nonselective beta-blocker use.

Questions? Contact CapsoCam Plus.

To learn more about CapsoCam Plus, visit www.capsovision.com.

Additional information:

How CapsoCam Plus Endoscopy System Helps Improve Patient Convenience, Satisfaction, and Outcomes: https://www.youtube.com/watch?v=ms-nZkkkR9M

According to the 2023 CAPSOCAM PLUS Capsule Endoscopy Payer Guide for Massachusetts:

If you’re a Medicare beneficiary in Metro Boston (Middlesex, Norfolk, Suffolk counties), the procedure’s cost is $895.38 (Global Medicare Fee) and $825.51 (Physician Medicare Fee). For other Massachusetts counties, the cost is $799.24 (Global Medicare Fee) and $825.51 (Physician Medicare Fee).

Insurance coverage may vary, and you might need prior authorization. For Aetna, Cigna, and Humana (Commercial plans), check their medical policies for additional covered indications.

We cover the evaluation of GI bleeding, obscure bleeding, Crohn's disease, colitis, celiac disease, and tumors.

For specific requirements and covered indications with Tricare, Medicaid Managed Care, BCBS Federal, VA, and other providers, contact our Reimbursement Support at chardon.holston@capsovision.com or call/text 404-791-4793.

Remember, this information is for reference only. Providers must use their clinical judgment for individual patient care. Refer to official publications or insurer policies for accurate coding information.

References:

Stone, C.-B. (2023, May 9). Small bowel capsule endoscopy. AGA GI Patient Center. https://patient.gastro.org/small-bowel-capsule-endoscopy/