CPT code 27093: Hip arthrogram injection, without anesthesia2026 Medicare rate & RVUs

Injection of contrast into the hip joint without anesthesia to prepare for arthrographic imaging, such as fluoroscopic evaluation or an MRI arthrogram.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.9K Medicare services in 2024

Medicare pays $232.47 for 27093 nationally in the office and $57.78 in a hospital or facility. Local office rates run $203.95–$316.60.

Medicare rate · 27093

Hip arthrogram injection, without anesthesia

Office or facility?

Work RVUs
1.27
Total RVUs
6.96
Global days
000

National rate · 2026

$232.47

Office setting, before claim adjustments.

See every locality for 27093 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 27093 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27093 covers

This service places contrast within the hip joint to outline joint structures for an arthrogram. A radiologist or other qualified physician typically performs the injection, often using imaging to guide needle placement. The injection may precede fluoroscopic arthrography or an MRI arthrogram; the imaging acquisition and interpretation are represented by their own codes when performed. This code describes the injection without anesthesia; use its sibling code 27095 when the injection procedure is performed with anesthesia.

Select the code based on the service performed, not simply the type of scan ordered. Document the hip and side, indication, contrast injection, and whether anesthesia was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 27093 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$203.95 to $316.60

$203.95$260.27$316.60
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

27093 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$207.17$54.31
Alaska$263.46$77.42
Arizona$226.01$56.74
Arkansas$203.95$53.89
Atlanta, GA$236.57$59.08
Austin, TX$242.72$57.90
Bakersfield, CA$249.08$57.62
Baltimore area, MD$247.84$60.41
Beaumont, TX$215.46$56.50
Brazoria, TX$230.04$56.93

27093 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$203.95

$282.62

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27093 office rate range by state
State / territoryOffice rate rangeLocalities
AK$263.461
AL$207.171
AR$203.951
AZ$226.011
CA$248.63–$316.6029
CO$243.721
CT$248.621
DC$268.261
DE$229.961
FL$226.85–$247.723
GA$213.45–$236.572
GU$255.711
HI$255.711
IA$213.721
ID$215.031
IL$219.19–$241.634
IN$216.391
KS$212.221
KY$211.501
LA$210.98–$222.232
MA$241.94–$269.562
MD$234.70–$268.263
ME$215.77–$228.962
MI$217.02–$229.432
MN$234.311
MO$206.80–$223.603
MS$205.441
MT$232.461
NC$218.261
ND$229.491
NE$215.111
NH$239.431
NJ$251.68–$265.092
NM$218.121
NV$231.821
NY$221.73–$274.455
OH$216.411
OK$211.551
OR$230.24–$252.412
PA$217.02–$241.792
PR$234.431
RI$238.841
SC$217.661
SD$229.141
TN$213.311
TX$215.46–$242.728
UT$220.861
VA$227.85–$268.262
VI$234.431
VT$228.141
WA$241.63–$275.682
WI$221.231
WV$210.391
WY$231.171

How the 27093 rate is calculated

Each of 27093’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27093

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.27

1.27 RVUs× 1.000 GPCI

Practice expense5.54

5.54 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

6.9600

Conversion factor

$33.4009

Medicare rate

$232.47

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 27093

The CMS indicators that decide how 27093 is paid alongside other services.

CMS payment indicators · 27093

Hip arthrogram injection, without anesthesia

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27093 without 50 · national office

$232.47

Hip arthrogram injection, without anesthesia

27093-50 · Bilateral: 150%

$348.71

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

27093 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 27093

    Hip arthrogram injection, without anesthesia1.27 wRVU

    $232.47

  • 27095

    Hip arthrogram injection, with anesthesia1.46 wRVU

    $325.66+$93.19

  • 73525

    Hip arthrography, contrast imaging0.53 wRVU

    $133.27−$99.20

  • 27096

    SI joint injection, image-guided intra-articular1.44 wRVU

    $175.69−$56.78

How to choose

27095Hip arthrogram injectionWith anesthesia
Both codes describe an injection for hip arthrography. Choose 27093 without anesthesia and 27095 when anesthesia is used for the injection procedure.
73525Hip arthrographyContrast imaging
This code covers the hip joint contrast injection; 73525 covers the radiological supervision and interpretation for fluoroscopic hip arthrography.
27096SI joint injectionImage-guided intra-articular
27096 is an injection of the sacroiliac joint, not the hip joint injection used to prepare for arthrographic imaging.

27093 billing questions

When should 27093 be chosen instead of 27095?

Use 27093 for the hip arthrogram injection performed without anesthesia. Use 27095 when anesthesia is used for the injection procedure.

Does 27093 include the arthrogram imaging?

It represents the contrast injection into the hip joint. Report the separately performed imaging acquisition and interpretation with the applicable imaging code, such as 73525 for fluoroscopic hip arthrography.

Can 27093 be reported with an MRI arthrogram?

Yes. The injection prepares the joint for imaging, and the MRI service may be reported separately when performed; 73722 describes MRI of a lower-extremity joint without and then with contrast.

How is bilateral reporting handled?

CMS lists this as a bilateral procedure: modifier 50 is paid at 150%. Document that both hips were injected.

What same-session payment rules apply?

With multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. The code has a 0-day global period, and assistant-at-surgery, co-surgeon, and team-surgery services are not payable or permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27093PPRRVU2026_Oct_nonQPP.csv, line 2,748 (RVU26D)

Open CMS sourceHow we calculate rates

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