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

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, 2026One payment locality12.9K Medicare services in 2024

In Puerto Rico, Medicare pays $234.43 for 27093 in the office and $57.82 when it’s performed in a hospital or facility.

$234.43Office (non-facility)
$57.82Hospital or facility
+0.8%vs the national office rate ($232.47)

Check a contract rate as a % of Medicare · 27093 nationwide

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

We’ll open 27093 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 27093 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Puerto Rico compares for 27093

Across 109 of 109 payment localities, the office rate for 27093 runs from $203.95 in Arkansas to $316.60 in San Benito County, CA. Puerto Rico pays $234.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

27093 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$234.43
  2. Los Angeles, CA · California$266.39+$31.96
  3. Washington, DC area · District of Columbia$268.26+$33.83
  4. Miami, FL · Florida$247.72+$13.29
  5. Chicago, IL · Illinois$240.18+$5.75
  6. Manhattan, NY · New York$268.10+$33.67
  7. Alaska · Alaska$263.46+$29.03

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

27093 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$207.17$54.31
ArkansasArkansas$203.95$53.89
ArizonaArizona$226.01$56.74
Bakersfield, CACalifornia$249.08$57.62
Chico, CACalifornia$248.63$57.17
El Centro, CACalifornia$248.66$57.20
Fresno, CACalifornia$248.63$57.17
Hanford, CACalifornia$248.63$57.17

27093 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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

See 27093 in every payment locality

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,748

Code
27093
Physician work
1.27
Practice expense
5.54
Malpractice
0.15

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 27093 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0001.2700
Practice expense5.54× 1.0115.6009
Malpractice0.15× 0.9850.1477
Total RVUs7.0187
Conversion factor× 33.4009

Office rate, Puerto Rico$234.43

Office: (1.27 × 1 + 5.54 × 1.011 + 0.15 × 0.985) × $33.4009 = $234.43

Facility: (1.27 × 1 + 0.31 × 1.011 + 0.15 × 0.985) × $33.4009 = $57.82

Open 27093 in the RVU calculator

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

Codes related to 27093

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 27093
CodeHow it relatesOffice range, Puerto Rico
Same family
27095Hip arthrogram injection, with anesthesiaHip arthrogram injection sibling for the procedure performed with anesthesia.$328.51
Often billed with
73525Hip arthrography, contrast imagingReports radiological supervision and interpretation for fluoroscopic hip arthrography.$134.50
73722Joint MRI, with contrastReports MRI of a lower-extremity joint without and then with contrast after injection.$317.76

How 27093 has changed in Puerto Rico

27093 · Office / nonfacility

$234.43

Effective 2026-10-01

The base rate is $16.62 higher than on 2025-10-01, moving from $217.81 to $234.43 (7.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $217.81changed to$234.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.30 changed to 1.27
    • Practice expense RVU 5.24 changed to 5.54
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $230.86changed to$217.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.45 changed to 5.24
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $227.10changed to$230.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $241.01changed to$227.10

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.60 changed to 5.45
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $239.58changed to$241.01

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $251.75changed to$239.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.81 changed to 5.60
    • Malpractice RVU 0.12 changed to 0.17
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $247.14changed to$251.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.60 changed to 5.81
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $225.80changed to$247.14

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.79 changed to 5.60
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $207.17changed to$225.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.28 changed to 4.79
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $192.81changed to$207.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.89 changed to 4.28

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $169.08changed to$192.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.88 changed to 3.89
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $146.46changed to$169.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.90 changed to 3.88
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $146.59changed to$146.46

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.88 changed to 3.90
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $145.86changed to$146.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $142.77changed to$145.86

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.83 changed to 3.88
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $144.84changed to$142.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.31 changed to 3.83
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $144.84

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$234.43$57.82RVU26D
2026-07-01$234.43$57.82RVU26C
2026-04-01$234.43$57.82RVU26B
2026-01-01$234.43$57.82RVU26A
2025-10-01$217.81$65.70RVU25D
2025-07-01$217.81$65.70RVU25C
2025-04-01$217.81$65.70RVU25B
2025-01-01$217.81$65.70RVU25A
2024-10-01$230.86$66.95RVU24D
2024-07-01$230.86$66.95RVU24C
2024-04-01$230.86$66.95RVU24B
2024-03-09$230.86$66.95RVU24AR
2024-01-01$227.10$65.86RVU24A
2023-10-01$241.01$68.85RVU23D
2023-07-01$239.58$68.79RVU23C
2023-04-01$239.58$68.79RVU23B
2023-01-01$239.58$68.79RVU23A
2022-10-01$251.75$68.62RVU22D
2022-07-01$251.75$68.62RVU22C
2022-04-01$251.75$68.62RVU22B
2022-01-01$251.75$68.62RVU22A
2021-10-01$247.14$70.23RVU21D
2021-07-01$247.14$70.23RVU21C
2021-04-01$247.14$70.23RVU21B
2021-01-01$247.14$70.23RVU21A
2020-10-01$225.80$72.29RVU20D
2020-07-01$225.80$72.29RVU20C
2020-04-01$225.80$72.29RVU20B
2020-01-01$225.80$72.29RVU20A
2019-10-01$207.17$72.53RVU19D
2019-07-01$207.17$72.53RVU19C
2019-04-01$207.17$72.53RVU19B
2019-01-01$207.17$72.53RVU19A
2018-10-01$192.81$72.81RVU18D
2018-07-01$192.81$72.81RVU18C
2018-04-01$192.81$72.81RVU18B
2018-01-01$192.81$72.81RVU18AR1
2017-10-01$169.08$67.70RVU17D
2017-07-01$169.08$67.70RVU17C
2017-04-01$169.08$67.70RVU17B
2017-01-01$169.08$67.70RVU17A
2016-10-01$146.46$62.65RVU16D
2016-07-01$146.46$62.65RVU16C
2016-04-01$146.46$62.65RVU16B
2016-01-01$146.46$62.65RVU16A
2015-10-01$146.59$62.99RVU15D
2015-07-01$146.59$62.99RVU15C
2015-04-01$145.86$62.67RVU15B
2015-01-01$145.86$62.67RVU15A
2014-10-01$142.77$62.46RVU14D
2014-07-01$142.77$62.46RVU14C
2014-04-01$142.77$62.46RVU14B
2014-01-01$142.77$62.46RVU14A
2013-10-01$144.84$59.72RVU13D
2013-07-01$144.84$59.72RVU13C
2013-04-01$144.84$59.72RVU13B
2013-01-01$144.84$59.72RVU13AR

Price 27093 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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