$207.17
Use 27095 when the hip arthrogram injection is performed with anesthesia; use 27093 when it is performed without anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
27095 Hip arthrogram injection Medicare reimbursement rates in Alabama
Reports hip-joint contrast injection for arthrography when the injection is performed with anesthesia, typically with fluoroscopic needle placement. Compare 27095 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 27095 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$288.78
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$64.91
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiology
About 27095: Hip arthrogram injection with anesthesia
Reports hip-joint contrast injection for arthrography when the injection is performed with anesthesia, typically with fluoroscopic needle placement.
This code represents placing a needle into the hip joint and injecting contrast for an arthrogram when the procedure is performed with anesthesia. A radiologist, orthopedic surgeon, or other qualified physician may perform the injection, commonly in a hospital or imaging facility. Fluoroscopic guidance is used to direct needle placement; the resulting images are used to evaluate the joint, including its structures and contour.
Choose this code when the hip arthrogram injection is performed with anesthesia; use 27093 when it is performed without anesthesia. The record should identify the hip treated, the arthrographic purpose, the contrast injection, and the anesthetic circumstance. The same-day preoperative and postoperative care is included in this 0-day global service. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 27095
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.46 · 15%
- Practice expense (office) RVU8.07 · 83%
- Malpractice RVU0.22 · 2%
2.1K
Medicare services in 2024 · #2431 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.
27095 compared with similar codes
Office rates for Alabama, from the same CMS release.
$118.31
73525 represents the radiologic examination and interpretation of the hip arthrogram; 27095 represents the contrast injection into the joint.
$62.08
20610 is used for aspiration or therapeutic injection of a major joint, such as the hip. It does not represent contrast injection for an arthrogram.
Compare 27095 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$288.78
Facility
$64.91
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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 27095 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,749
- Code
- 27095
- Physician work
- 1.46
- Practice expense
- 8.07
- Malpractice
- 0.22
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.000 | 1.4600 |
| Practice expense | 8.07 | × 0.875 | 7.0613 |
| Malpractice | 0.22 | × 0.566 | 0.1245 |
| Total RVUs | 8.6458 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$288.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1 |
| Practice expense | 8.07 | 0.875 |
| Malpractice | 0.22 | 0.566 |
(1.46 × 1 + 8.07 × 0.875 + 0.22 × 0.566) × $33.4009 = $288.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1 |
| Practice expense | 0.41 | 0.875 |
| Malpractice | 0.22 | 0.566 |
(1.46 × 1 + 0.41 × 0.875 + 0.22 × 0.566) × $33.4009 = $64.91
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.
27095 billing questions
How does 27095 differ from 27093?
Both report hip arthrogram injection; 27095 is for the procedure performed with anesthesia, while 27093 is for the procedure without anesthesia.
Can the arthrogram imaging be reported separately?
The radiologic examination and interpretation may be reported with 73525 when performed and documented. This injection code represents the joint access and contrast injection.
Can modifier 50 be used for both hips?
Yes. CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.
What documentation supports choosing 27095?
Document the hip joint injected, the arthrographic purpose, contrast administration, fluoroscopic needle placement, and that the procedure was performed with anesthesia.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not 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 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.
2,74627090,,Removal of hip prosthesis,A,,11.40,9.36,NA,9.36,,2.39,23.15,23.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74727091,,Removal of hip prosthesis,A,,23.74,14.26,NA,14.26,,5.03,43.03,43.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74827093,,Injection for hip x-ray,A,,1.27,5.54,,0.31,,0.15,6.96,1.73,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74927095,,Injection for hip x-ray,A,,1.46,8.07,,0.41,,0.22,9.75,2.09,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75027096,,Inject sacroiliac joint,A,,1.44,3.68,,0.63,,0.14,5.26,2.21,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75127097,,Revision of hip tendon,A,,9.04,8.32,NA,8.32,,1.92,19.28,19.28,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75227098,,Transfer tendon to pelvis,A,,9.09,8.68,NA,8.68,,1.93,19.70,19.70,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515