$359.49
Both codes describe an injection for hip arthrography. Choose 27093 without anesthesia and 27095 when anesthesia is used for the injection procedure.
On this page
CMS RVU26D · Effective 2026-10-01
27093 Hip arthrogram injection Medicare reimbursement rates in Hawaii
Injection of contrast into the hip joint without anesthesia to prepare for arthrographic imaging, such as fluoroscopic evaluation or an MRI arthrogram. Compare 27093 office and facility rates across CMS payment localities in Hawaii.
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 27093 in Hawaii?
Hawaii 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
$255.71
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$57.09
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 27093: Hip arthrogram contrast injection
Injection of contrast into the hip joint without anesthesia to prepare for arthrographic imaging, such as fluoroscopic evaluation or an MRI arthrogram.
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.
CMS billing rules for 27093
- 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 RVU1.27 · 18%
- Practice expense (office) RVU5.54 · 80%
- Malpractice RVU0.15 · 2%
12.9K
Medicare services in 2024 · #1343 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.
27093 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$148.17
This code covers the hip joint contrast injection; 73525 covers the radiological supervision and interpretation for fluoroscopic hip arthrography.
$190.56
27096 is an injection of the sacroiliac joint, not the hip joint injection used to prepare for arthrographic imaging.
Compare 27093 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
Hawaii, Guam →
Office / nonfacility
$255.71
Facility
$57.09
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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 27093 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,748
- Code
- 27093
- Physician work
- 1.27
- Practice expense
- 5.54
- Malpractice
- 0.15
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.27 | × 1.000 | 1.2700 |
| Practice expense | 5.54 | × 1.137 | 6.2990 |
| Malpractice | 0.15 | × 0.579 | 0.0868 |
| Total RVUs | 7.6558 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$255.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 5.54 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.27 × 1 + 5.54 × 1.137 + 0.15 × 0.579) × $33.4009 = $255.71
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 0.31 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.27 × 1 + 0.31 × 1.137 + 0.15 × 0.579) × $33.4009 = $57.09
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.
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 under the listed CMS rules.
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.
2,74527087,,Remove hip foreign body,A,,8.61,7.26,NA,7.26,,1.99,17.86,17.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74627090,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014