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CMS RVU26D · Effective 2026-10-01

27648 in Austin

Office / nonfacility

$216.18

Base rate per service

Facility setting

$43.73

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Diagnostic imaging

About 27648: Ankle arthrography contrast injection

Reports intra-articular contrast injection into the ankle to prepare for arthrographic imaging when clinicians need to evaluate joint structures.

A physician, commonly a radiologist, places a needle or catheter into the ankle joint and injects contrast for an arthrogram. The injection precedes imaging used to assess the joint, such as radiography, CT, or MRI. Ankle arthrography may be requested to evaluate suspected cartilage or ligament injury, joint-surface abnormalities, or persistent symptoms after an ankle injury.

Select this code for the ankle-joint injection, not for an injection into another joint or for the imaging acquisition and interpretation. The record should identify the ankle, the clinical indication, and the intra-articular contrast injection. Report the imaging service separately when performed and documented; ankle arthrography imaging may be reported with 73615. CMS assigns 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 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.

CMS billing rules for 27648

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.94 · 15%
  • Practice expense (office) RVU5.11 · 83%
  • Malpractice RVU0.14 · 2%

414

Medicare services in 2024 · #3710 by national volume

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.

27648 compared with similar codes

Office rates for Austin, from the same CMS release.

73615

Ankle arthrography

Radiographic supervision and interpretation

$139.37

Use 27648 for injecting contrast into the ankle joint. Use 73615 for the radiographic arthrogram examination and its supervision and interpretation.

27093

Hip arthrogram injection

Without anesthesia

$242.72

Both involve injection for arthrography, but 27093 applies to the hip joint rather than the ankle.

73722

Joint MRI

With contrast

$329.65

73722 reports MRI of a lower-extremity joint with contrast. It describes the MRI service, not the ankle-joint contrast injection reported with 27648.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 27648 is $191.06—$25.12 lower than the $216.18 rate in Austin. Both use the same code, release and participation basis.

27648 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $216.18

  2. Beaumont

    $191.06

    $25.12 lower than Austin

  3. Brazoria

    $204.44

    $11.74 lower than Austin

  4. Dallas

    $205.69

    $10.49 lower than Austin

  5. Fort Worth

    $204.04

    $12.14 lower than Austin

  6. Galveston

    $205.00

    $11.18 lower than Austin

  7. Houston

    $207.57

    $8.61 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 27648 ranges from $180.42 in Arkansas to $283.48 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 27648

    Office

    $197.59

    Facility

    $42.91

    $18.59 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 27648

    Office

    $237.70

    Facility

    $44.88

    $21.52 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 27648

    Office

    $239.36

    Facility

    $47.35

    $23.18 higher than Austin for the office setting.

  • Miami

    Florida · 27648

    Office

    $220.90

    Facility

    $51.22

    $4.72 higher than Austin for the office setting.

  • Chicago

    Illinois · 27648

    Office

    $213.88

    Facility

    $50.07

    $2.30 lower than Austin for the office setting.

  • Manhattan

    New York · 27648

    Office

    $239.15

    Facility

    $49.75

    $22.97 higher than Austin for the office setting.

  • Alaska*

    Alaska · 27648

    Office

    $231.44

    Facility

    $57.85

    $15.26 higher than Austin for the office setting.

  • Alabama

    Alabama · 27648

    Office

    $183.39

    Facility

    $40.77

    $32.79 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 27648

    Office

    $180.42

    Facility

    $40.40

    $35.76 lower than Austin for the office setting.

  • Arizona

    Arizona · 27648

    Office

    $200.79

    Facility

    $42.84

    $15.39 lower than Austin for the office setting.

  • Bakersfield

    California · 27648

    Office

    $221.90

    Facility

    $43.26

    $5.72 higher than Austin for the office setting.

  • Chico

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • El Centro

    California · 27648

    Office

    $221.52

    Facility

    $42.88

    $5.34 higher than Austin for the office setting.

  • Fresno

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Madera

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Merced

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Modesto

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Napa

    California · 27648

    Office

    $260.70

    Facility

    $45.88

    $44.52 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27648

    Office

    $236.93

    Facility

    $44.27

    $20.75 higher than Austin for the office setting.

  • Redding

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Rest Of California

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27648

    Office

    $223.01

    Facility

    $44.37

    $6.83 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27648

    Office

    $233.53

    Facility

    $43.97

    $17.35 higher than Austin for the office setting.

  • Salinas

    California · 27648

    Office

    $232.69

    Facility

    $43.78

    $16.51 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27648

    Office

    $239.00

    Facility

    $44.06

    $22.82 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27648

    Office

    $277.18

    Facility

    $47.36

    $61.00 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 27648

    Office

    $277.02

    Facility

    $47.20

    $60.84 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 27648

    Office

    $283.48

    Facility

    $48.43

    $67.30 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 27648

    Office

    $282.83

    Facility

    $47.78

    $66.65 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27648

    Office

    $228.84

    Facility

    $43.19

    $12.66 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 27648

    Office

    $241.94

    Facility

    $43.90

    $25.76 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 27648

    Office

    $233.79

    Facility

    $43.74

    $17.61 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 27648

    Office

    $244.44

    Facility

    $44.28

    $28.26 higher than Austin for the office setting.

  • Stockton

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Vallejo

    California · 27648

    Office

    $260.48

    Facility

    $45.65

    $44.30 higher than Austin for the office setting.

  • Visalia

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Yuba City

    California · 27648

    Office

    $221.50

    Facility

    $42.86

    $5.32 higher than Austin for the office setting.

  • Colorado

    Colorado · 27648

    Office

    $217.03

    Facility

    $43.60

    $0.85 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 27648

    Office

    $221.50

    Facility

    $45.96

    $5.32 higher than Austin for the office setting.

  • Delaware

    Delaware · 27648

    Office

    $204.39

    Facility

    $43.35

    $11.79 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 27648

    Office

    $212.75

    Facility

    $47.63

    $3.43 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 27648

    Office

    $201.59

    Facility

    $45.77

    $14.59 lower than Austin for the office setting.

  • Atlanta

    Georgia · 27648

    Office

    $210.52

    Facility

    $44.91

    $5.66 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 27648

    Office

    $189.22

    Facility

    $43.82

    $26.96 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 27648

    Office

    $228.17

    Facility

    $42.84

    $11.99 higher than Austin for the office setting.

  • Iowa

    Iowa · 27648

    Office

    $189.42

    Facility

    $40.28

    $26.76 lower than Austin for the office setting.

  • Idaho

    Idaho · 27648

    Office

    $190.63

    Facility

    $40.68

    $25.55 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 27648

    Office

    $197.84

    Facility

    $47.88

    $18.34 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 27648

    Office

    $194.54

    Facility

    $45.72

    $21.64 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 27648

    Office

    $215.19

    Facility

    $47.79

    $0.99 lower than Austin for the office setting.

  • Indiana

    Indiana · 27648

    Office

    $191.89

    Facility

    $40.79

    $24.29 lower than Austin for the office setting.

  • Kansas

    Kansas · 27648

    Office

    $188.05

    Facility

    $40.70

    $28.13 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 27648

    Office

    $187.41

    Facility

    $42.50

    $28.77 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 27648

    Office

    $197.32

    Facility

    $43.94

    $18.86 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 27648

    Office

    $186.93

    Facility

    $42.68

    $29.25 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 27648

    Office

    $240.64

    Facility

    $46.02

    $24.46 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27648

    Office

    $215.35

    Facility

    $43.72

    $0.83 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27648

    Office

    $220.82

    Facility

    $45.93

    $4.64 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 27648

    Office

    $208.73

    Facility

    $43.78

    $7.45 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 27648

    Office

    $191.33

    Facility

    $41.37

    $24.85 lower than Austin for the office setting.

  • Southern Maine

    Maine · 27648

    Office

    $203.49

    Facility

    $41.96

    $12.69 lower than Austin for the office setting.

  • Detroit

    Michigan · 27648

    Office

    $203.99

    Facility

    $46.69

    $12.19 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 27648

    Office

    $192.51

    Facility

    $43.69

    $23.67 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 27648

    Office

    $208.41

    Facility

    $40.69

    $7.77 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 27648

    Office

    $196.23

    Facility

    $43.18

    $19.95 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 27648

    Office

    $198.57

    Facility

    $43.40

    $17.61 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 27648

    Office

    $183.08

    Facility

    $42.57

    $33.10 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 27648

    Office

    $181.81

    Facility

    $41.47

    $34.37 lower than Austin for the office setting.

  • Montana**

    Montana · 27648

    Office

    $206.74

    Facility

    $43.75

    $9.44 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 27648

    Office

    $193.63

    Facility

    $41.55

    $22.55 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 27648

    Office

    $203.97

    Facility

    $40.98

    $12.21 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 27648

    Office

    $190.70

    Facility

    $40.26

    $25.48 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 27648

    Office

    $213.16

    Facility

    $43.49

    $3.02 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 27648

    Office

    $236.36

    Facility

    $47.28

    $20.18 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 27648

    Office

    $224.16

    Facility

    $46.17

    $7.98 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 27648

    Office

    $193.53

    Facility

    $44.06

    $22.65 lower than Austin for the office setting.

  • Nevada**

    Nevada · 27648

    Office

    $206.14

    Facility

    $42.98

    $10.04 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27648

    Office

    $245.03

    Facility

    $51.22

    $28.85 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27648

    Office

    $225.36

    Facility

    $46.88

    $9.18 higher than Austin for the office setting.

  • Queens

    New York · 27648

    Office

    $241.89

    Facility

    $49.23

    $25.71 higher than Austin for the office setting.

  • Rest Of New York

    New York · 27648

    Office

    $196.83

    Facility

    $41.98

    $19.35 lower than Austin for the office setting.

  • Ohio

    Ohio · 27648

    Office

    $191.94

    Facility

    $43.12

    $24.24 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 27648

    Office

    $187.45

    Facility

    $41.89

    $28.73 lower than Austin for the office setting.

  • Portland

    Oregon · 27648

    Office

    $225.00

    Facility

    $43.91

    $8.82 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 27648

    Office

    $204.68

    Facility

    $42.34

    $11.50 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27648

    Office

    $215.22

    Facility

    $45.54

    $0.96 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27648

    Office

    $192.50

    Facility

    $42.87

    $23.68 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 27648

    Office

    $208.56

    Facility

    $43.77

    $7.62 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 27648

    Office

    $212.48

    Facility

    $44.10

    $3.70 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 27648

    Office

    $193.08

    Facility

    $42.47

    $23.10 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 27648

    Office

    $203.65

    Facility

    $40.65

    $12.53 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 27648

    Office

    $189.05

    Facility

    $40.89

    $27.13 lower than Austin for the office setting.

  • Utah

    Utah · 27648

    Office

    $196.03

    Facility

    $42.82

    $20.15 lower than Austin for the office setting.

  • Virginia

    Virginia · 27648

    Office

    $202.48

    Facility

    $42.25

    $13.70 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27648

    Office

    $208.56

    Facility

    $43.77

    $7.62 lower than Austin for the office setting.

  • Vermont

    Vermont · 27648

    Office

    $202.73

    Facility

    $41.37

    $13.45 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 27648

    Office

    $215.09

    Facility

    $43.45

    $1.09 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 27648

    Office

    $246.21

    Facility

    $46.21

    $30.03 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 27648

    Office

    $196.35

    Facility

    $40.20

    $19.83 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 27648

    Office

    $186.41

    Facility

    $44.76

    $29.77 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 27648

    Office

    $205.54

    Facility

    $42.54

    $10.64 lower than Austin for the office setting.

See how rates vary across the country

27648 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$180.42

$252.49

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$231.441
AL$183.391
AR$180.421
AZ$200.791
CA$221.50–$283.4829
CO$217.031
CT$221.501
DC$239.361
DE$204.391
FL$201.59–$220.903
GA$189.22–$210.522
GU$228.171
HI$228.171
IA$189.421
ID$190.631
IL$194.54–$215.194
IN$191.891
KS$188.051
KY$187.411
LA$186.93–$197.322
MA$215.35–$240.642
MD$208.73–$239.363
ME$191.33–$203.492
MI$192.51–$203.992
MN$208.411
MO$183.08–$198.573
MS$181.811
MT$206.741
NC$193.631
ND$203.971
NE$190.701
NH$213.161
NJ$224.16–$236.362
NM$193.531
NV$206.141
NY$196.83–$245.035
OH$191.941
OK$187.451
OR$204.68–$225.002
PA$192.50–$215.222
PR$208.561
RI$212.481
SC$193.081
SD$203.651
TN$189.051
TX$191.06–$216.188
UT$196.031
VA$202.48–$239.362
VI$208.561
VT$202.731
WA$215.09–$246.212
WI$196.351
WV$186.411
WY$205.541

Explore 27648 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 27648 in Austin, the physician’s office rate is $216.18 and the facility-setting rate is $43.73: a difference of $172.45.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 27648 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$237.80

$216.18 × 110% = $237.80

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27648 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,992

Code
27648
Physician work
0.94
Practice expense
5.11
Malpractice
0.14

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 27648 in Austin
ComponentRVULocality factorAdjusted
Physician work0.94× 1.0020.9419
Practice expense5.11× 1.0585.4064
Malpractice0.14× 0.8860.1240
Total RVUs6.4723
Conversion factor× 33.4009

Office / nonfacility rate, Austin$216.18

Open 27648 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.941.002
Practice expense5.111.058
Malpractice0.140.886

(0.94 × 1.002 + 5.11 × 1.058 + 0.14 × 0.886) × $33.4009 = $216.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.941.002
Practice expense0.231.058
Malpractice0.140.886

(0.94 × 1.002 + 0.23 × 1.058 + 0.14 × 0.886) × $33.4009 = $43.73

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

27648 · Office / nonfacility

$216.18

Effective 2026-10-01

The base rate is $10.84 higher than on 2025-10-01, moving from $205.34 to $216.18 (5.3%).

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

    $205.34changed to$216.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.96 changed to 0.94
    • Practice expense RVU 5.02 changed to 5.11
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $205.34

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$216.18$43.73RVU26D
2026-07-01$216.18$43.73RVU26C
2026-04-01$216.18$43.73RVU26B
2026-01-01$216.18$43.73RVU26A
2025-10-01$205.34$50.04RVU25D
2025-07-01$205.34$50.04RVU25C
2025-04-01$205.34$50.04RVU25B
2025-01-01$205.34$50.04RVU25A

27648 billing questions

How is 27648 different from 73615?

27648 reports injection of contrast into the ankle joint. Code 73615 reports the radiographic arthrogram examination and its supervision and interpretation.

Can the ankle MRI be reported with the injection?

Yes, when an MRI is performed and documented, report the applicable MRI service separately. Code 73722 describes MRI of a lower-extremity joint with contrast.

Does this code apply to a knee or hip arthrogram?

No. This code is specific to the ankle joint; 27370 describes injection for knee arthrography, and 27093 describes injection for hip arthrography.

What documentation supports reporting 27648?

Document the ankle joint treated, the indication, and that contrast was injected intra-articularly to prepare for arthrographic imaging.

How is a bilateral ankle procedure reported?

Use modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150% under the stated rule.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 27648PPRRVU2026_Oct_nonQPP.csv, line 2,992 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet