Several important motility coding changes are set to take effect January 1, 2026, reshaping how key neurogastroenterology procedures are billed across outpatient settings.
Most notably, EndoFLIP™ will now be billable in the ambulatory surgery center (ASC) after years of advocacy from GI societies—opening the door to broader procedural flexibility. At the same time, long-standing CPT codes for anorectal manometry and barostat are being retired, replaced with new, clearly separated Category I codes intended to eliminate historical billing confusion and duplicate reporting.
The update also introduces a new permanent CPT code for IB-Stim®, transitioning the therapy out of temporary “new technology” status and formally recognizing percutaneous electrical nerve field stimulation within the Medicare fee schedule.