Medica policy
Multichannel Intraluminal Esophageal Impedance with pH Monitoring
Multichannel Intraluminal Esophageal Impedance with pH Monitoring is a public Medica policy (effective Jun 1, 2026). It lists 1 CPT or HCPCS code. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Effective
- Jun 1, 2026
- Line of business
- Commercial, Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| 91038 | Policies naming 91038 |