CPT code 27093: Hip arthrogram injection, without anesthesia2026 Medicare rate & RVUs in Missouri
Injection of contrast into the hip joint without anesthesia to prepare for arthrographic imaging, such as fluoroscopic evaluation or an MRI arthrogram.
Medicare pays $206.80–$223.60 for 27093 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$206.80 to $223.60
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $221.07 | $57.04 |
| Metropolitan St. Louis, MO | $223.60 | $57.30 |
| Rest of Missouri | $206.80 | $56.22 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
27093 compared with similar codes
Compare codes · National
4 codes, side by side
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
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