GI · CMS status A
91065
Breath hydrogen/methane test
Breath hydrogen or methane test for small bowel bacterial overgrowth, lactose intolerance, or H. pylori.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
0.20
National non-QP estimate
$64.46
National GPCI · non-facility · CF $33.4009
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
RVU anatomyWork 0.20 + Practice 1.71 + Malpractice 0.02 = 1.93 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 91065 is locked
- When to use it: the exact clinical situations that support billing 91065
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 91065 downcoded or denied
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Common ICD-10 pairings
B96.81K90.41
See what 91065 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.