How To Use CPT Code 91122

CPT 91122 describes the procedure for anorectal manometry, which involves the analysis and measurement of the contraction of the rectum and anal sphincter using a manometer. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 91122?

CPT 91122 is used to describe the procedure of anorectal manometry, which involves the measurement of the contraction strength of the anus and rectum using a pressure recording device. This procedure is performed by a healthcare provider who inserts a lubricated manometric catheter through the anus and advances it to the rectum. The provider then measures the rectal pressure in both relaxed and squeezed positions, and may also use a balloon catheter to apply pressure on the rectal walls and record the corresponding pressures. The recorded data is then analyzed and interpreted by the provider to prepare a report.

2. Official Description

The official description of CPT code 91122 is: ‘Anorectal manometry, using a manometer to analyze and measure the contraction of the rectum and anal sphincter.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure, ensuring appropriate prepping.
2. A lubricated manometric catheter is inserted through the anus and advanced to the rectum.
3. The provider measures the rectal pressure in its normal relaxed position.
4. The patient is instructed to squeeze the rectal and anal muscles, and the provider records the rectal pressure during this contraction.
5. The manometric catheter is removed and reinserted, this time with a balloon catheter.
6. The balloon is inflated to put pressure on the rectal walls, and the provider records the rectal pressure in both squeezed and relaxed positions.
7. The catheter is then removed.
8. The recorded data is analyzed and interpreted by the provider.
9. A report is prepared based on the analysis of the recorded data.

4. Qualifying circumstances

Anorectal manometry is typically performed for patients with conditions related to the anus and rectum, such as constipation, incontinence, irritable bowel syndrome, and other bowel disorders. The procedure is performed by a healthcare provider who is trained and qualified to perform anorectal manometry. The provider uses a manometer to analyze and measure the contraction of the rectum and anal sphincter.

5. When to use CPT code 91122

CPT code 91122 should be used when anorectal manometry is performed using a manometer to analyze and measure the contraction of the rectum and anal sphincter. This code is appropriate for reporting the procedure and should be used when the specific criteria for anorectal manometry are met.

6. Documentation requirements

To support a claim for CPT code 91122, the healthcare provider must document the following information:

• Patient’s diagnosis or condition necessitating anorectal manometry
• Details of the procedure, including the use of a manometer and any additional equipment
• Date of the procedure
• Start and end time of the procedure
• Recorded data, including rectal pressures in relaxed and squeezed positions
• Analysis and interpretation of the recorded data
• Preparation of a report based on the analysis
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 91122, ensure that the procedure is performed by a qualified healthcare provider using a manometer to analyze and measure the contraction of the rectum and anal sphincter. Follow the appropriate coding guidelines and modifiers for reporting the professional and technical components of the procedure. It is important to note that CPT code 91122 should not be reported in conjunction with CPT code 91117.

8. Historical information

CPT code 91122 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A gastroenterologist performing anorectal manometry using a manometer to analyze and measure the contraction of the rectum and anal sphincter for a patient with chronic constipation.
2. A colorectal surgeon conducting anorectal manometry to assess the contraction strength of the anus and rectum using a manometer for a patient with fecal incontinence.
3. A gastroenterologist performing anorectal manometry with a balloon catheter to measure rectal pressures in relaxed and squeezed positions for a patient with irritable bowel syndrome.
4. A proctologist conducting anorectal manometry using a manometer to analyze and measure the contraction of the rectum and anal sphincter for a patient with anorectal disorders.
5. A gastroenterologist performing anorectal manometry to assess the contraction strength of the anus and rectum using a manometer for a patient with suspected pelvic floor dysfunction.
6. A colorectal surgeon conducting anorectal manometry with a balloon catheter to measure rectal pressures in relaxed and squeezed positions for a patient with chronic constipation.
7. A gastroenterologist performing anorectal manometry using a manometer to analyze and measure the contraction of the rectum and anal sphincter for a patient with anal sphincter dysfunction.
8. A proctologist conducting anorectal manometry to assess the contraction strength of the anus and rectum using a manometer for a patient with rectal prolapse.
9. A gastroenterologist performing anorectal manometry with a balloon catheter to measure rectal pressures in relaxed and squeezed positions for a patient with fecal incontinence.