CPT code 27278: SI joint fusion, intra-articular implants2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $12,642.47 for 27278 in the office and $432.07 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 27278 nationwide

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

What 27278 covers

A surgeon uses a percutaneous approach to fuse the sacroiliac joint by placing implant(s) within the joint without a transfixation device. The procedure may be considered for selected patients with symptomatic SI joint conditions, such as degenerative joint disease or SI joint dysfunction. Orthopedic and spine surgeons typically perform it in an operating room or other procedural setting, using image guidance to place the implants.

Choose this code when the operative report supports the intra-articular implant technique; a transfixation-device approach is reported with a different code. Image guidance is included. Documentation should identify the treated joint, approach, implant placement, and arthrodesis performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 New Mexico compares for 27278

Across 109 of 109 payment localities, the office rate for 27278 runs from $11,841.70 in Arkansas to $19,723.79 in San Benito County, CA. New Mexico pays $12,642.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27278 rates by state

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

See 27278 in every payment locality

How the 27278 rate is calculated

Each of 27278’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.

Payment rules and modifiers for 27278

27278 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27278

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

How 27278 has changed in New Mexico

Price 27278 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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

Open CMS sourceHow we calculate rates