27093 cpt code. These may be performed with CT or MRI enhancement.
27093 cpt code What is CPT code 73722? CPT code 73722 represents a specific MRI procedure focused on any joint of the lower extremity, utilizing contrast material to enhance the visibility of internal structures. This code is typically used when a healthcare provider administers a contrast agent or medication directly into the hip joint to enhance the clarity of the x-ray images, aiding in the diagnosis of various conditions affecting the hip. Sacro-iliac joint/nerve denervation procedures are also considered investigational and not medically necessary. Although knee arthroscopy is common, coding these surgical procedures can be complicated. The question referred to a hip arthrogram under fluoroscopy Feb 25, 2025 · CPT Global Period Lookup: How to Easily Find Global Surgical Days If you work in medical billing or healthcare, you know how important it is to get coding right. What would be the "KEY" words in the procedure note to be able to tell the difference between these 2 codes? Nov 13, 2025 · AMA CPT ® Assistant - 2012 Issue 6 (June) Coding Clarification: Hip Arthrography (June 2012) June 2012 page 14 Coding Clarification: Hip Arthrography A frequently asked question (page 11) in the February 2012 CPT Assistant newsletter inadvertently provided misleading instruction related to the reporting of a hip arthrography study. Learn the details of CPT code 27093, which is used for hip arthrography, an X-ray examination of the hip joint without anesthesia. It’s important to understand that in CPT terminology, a "surgical" code doesn’t necessarily indicate a procedure performed in an operating room. May 20, 2025 · The codes for supplies and ancillary procedures are provided on a spreadsheet included at the link below. That’s why knowing how to quickly look up global surgical days is essential. May 21, 2010 · Wyoming Subscriber Answer: You can code both the injection and fluoroscopy, but the correct choices depend on how your physician completed the procedure. If the Medical Directors determine it is an appropriate diagnostic procedure that can be safely performed in an IDTF, it will be added to Apr 6, 2025 · The patient fell and fractured his left femoral shaft in three places. Look at the 2018 CPT manual, page 412, code 64455 as an example. Make certain you use Modifier 26 when performing procedure is a facility setting. How To Use CPT Code 73525 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. The Current Procedural Terminology (CPT ®) code 73525 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Lower Extremities. At The Auctus Group, we make this May 11, 2010 · Good Morning~~ We are just having a discussion in regard to use of the CPT 27093, for an injection into the hip under fluro. Jul 28, 2022 · Answer: Yes, you would report CPT code 20610 for the hip injection and 77002-26 for the fluoroscopic guidance. Find coding tips, forum discussions, and related codes on Codify by AAPC. Mar 3, 2016 · Can you help me understand the difference in cpt code 27093 VS 20610. CPT codes 76942, 77002, 77003, 77012, and 77021 describe radiologic guidance for needle placement by different modalities. Jun 30, 2025 · CPT® Refresh and CPT® Refresh Premium are two authoritative Current Procedural Terminology (CPT®) products that enable informed use of the evolving CPT code set, support coding accuracy and help streamline health care administration through structured data, enhanced analytic capabilities, and seamless integration of CPT data. Procedure: All diagnostic radiologic procedures must meet the documentation guidelines established by the American College of Radiology (ACR) as CPT ® Code Set 27093 - CPT® Code in category: Injection procedure for hip arthrography What is CPT Code 27093 CPT code 27093 is for an injection procedure specifically targeting the hip joint, often performed to facilitate imaging through an x-ray. 70547 70548 70549 72198 73225 77002 27648 24220 27093 27369 23350 27095 27096 25246 73615 73085 73525 73580 73040 72240 62284 72255 62284 72265 62284 Jul 1, 2022 · Use this page to view details for the Local Coverage Article for Billing and Coding: Independent Diagnostic Testing Facilities (IDTF). They state 27093 is not on the ASC list of ceovered surgical procedures. Quick Reference Chart: Descriptors of G-codes and Modiiers for Therapy Functional Reporting Please note: The information in this publication applies only to the Medicare Fee-For- Service Program (also known as Original Medicare). biopsy, aspiration, injection, localization device) (List separately in addition to code for Primary Procedure). I've attempted to explain the difference between a therapeutic joint injection (20610) and a diagnostic one (27093) along with the guidance from ZHealth, but to no What is CPT Code 27093 CPT code 27093 is for an injection procedure specifically targeting the hip joint, often performed to facilitate imaging through an x-ray. Search all medical codes 27093 Injection procedure for hip arthrography; without anesthesia CPT4 code Name of the Procedure: Hip Arthrography Injection; without Anesthesia Summary In hip arthrography, a contrast dye is injected into the hip joint to improve the clarity of imaging studies such as X-rays, CT scans, or MRIs. Payment for knee arthroscopy hinges on proper coding, and proper coding relies on your knowledge of the code definitions and the differences between CPT® and Medicare guidelines. Arthrogram Billing Policy Definition: An arthrogram is a diagnostic procedure used to detect structural and functional problems in joints, including the ankle, knee, hip, wrist, and shoulder joints. CPT code information is copyright by the AMA. Discover the importance of AI automation in medical coding to streamline processes and reduce errors. Nov 21, 2014 · Below from the NCCI policy manual, Chapter 1 General Correct Coding Policies, states this would require a separate encounter on the same day or a separate anatomical site. 27095: Injection procedure for hip arthrography; with anesthesia. (dye is being used for location purposes only/not diagnostic) I would appreciate any feed back in regard to this. Do not report 27093 (Injection procedure for hip arthrography) when reporting CPT 20610. CPT code 27095 is a code used to describe an injection procedure for hip x-ray imaging in healthcare billing and documentation. Mar 6, 2025 · Click to expand CPT code 27093 refers to an injection procedure. My dilemma is I cannot locate a list of covered surgical procedures in the ASC. Alternatively, look up Arthrography/ Hip/Injection, which refers to the same codes, 27093–27095. CPT® Code 27095 refers to a hip arthrography injection procedure with anesthesia for diagnostic purposes, enhancing visualization during X-ray examinations. How To Use CPT Code 27093 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. 30 work RVUs in 2025according to the CMS Physician Fee Schedule. Modifier 26 is used for the professional component. CPT® CODE 27093 Details CPT® 2024 American Medical Association. Approx 13cc of dilute Magnevist and Isovue 300 were injected. All rights reserved. In each case, you’d report radiological supervision and interpretation with 73525. Description of the 77002 CPT Code Fluoroscopic guidance utilizes to place a needle in a precise location. He does document that he injected contrast material and the results. However 20610 is a column 2 code for 27093 in the NCCI edits. May 20, 2010 · Wyoming Subscriber Answer: You can code both the injection and fluoroscopy, but the correct choices depend on how your physician completed the procedure. The bundling information should be under the code (s). Option 1: If your orthopedist injected radiopaque dye and performed the arthrography concurrently, code the procedure with 27093 (Injection procedure for hip arthrography; without anesthesia). If a code is eligible for reimbursement, then the grouper level is listed. Is this correct? Should this hip injection be coded as 27093? I understand that the 27093/73525 are usually together, but this injection does appear to be a 20610. Feb 1, 2020 · A clear understanding of CPT ® and Medicare guidelines will put your claims for these procedures on solid ground. Jun 8, 2022 · CPT Code 77002 – Fluoroscopic guidance for needle place (eg. The fracture is treated with an ORIF of the left femur with an intramedullary nail and interlocking screws (peritrochanterically). It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements. What CPT® code(s) is/are reported? 27245 27507, 29505 27513 Jun 13, 2012 · When a conventional (radiographic) hip arthrogram is performed, it is reported with an arthrography injection code (code 27093, Injection procedure for hip arthrography; without anesthesia, or code 27095, Injection procedure for hip arthrography; with anesthesia), and the arthrography imaging code 73525, Radiologic examination, hip Understand CPT code 27096 for sacroiliac joint injections, including documentation requirements, billing guidelines, related codes, and FAQs. Code a hip arthrogram using either 27093 when no anesthesia is used or 27095 when the injection is done under anesthesia. Can anyone Explore our archive of CPT codes, updated for accurate medical billing and coding. Learn what CPT code 27093 is, when to use modifiers, and how to get reimbursed by Medicare. 1. Jul 2, 2024 · Our Imaging Department is using CPT 20610 instead of 27093 for the injection code performed before an MRI hip arthrogram (73722). Sep 28, 2010 · Should this have been billed as 27095, 73525 or keep it as 27093 and change 77002 to 73525? Clinical Indication Hip Pain Fluoroscopy time 51 seconds Utilizing sterile technique and after adequate local anesthesia was obtained, a 20gauge needle was introduced into the left hip joint. The Current Procedural Terminology (CPT ®) code 77022 as maintained by American Medical Association, is a medical procedural code under the range - Magnetic Resonance Imaging Guidance. Access historical data efficiently. The orthopedist also places the leg in a plaster splint prior to leaving the OR. Is that code 27093? And wouod it be code 73525 for the MRI arthrogram or 73722? Also the radiologist is wanting to bill this under revenue code 0360 but that is hospital operating room fees. MD Clarity offers software to optimize your revenue cycle management and detect underpayments for 27093 and other codes. Clinical Scenario A patient requiring diagnostic imaging of the hip joint undergoes an injection for arthrography without anesthesia. Reimbursement 2018 Coding and Payment Guide for Medicare Reimbursement: The following are the 2018 Medicare coding and national payment rates for Radio Frequency Ablation (Hip Joint) procedures performed in an ambulatory surgical center, physician ofice, or outpatient hospital. Therefore, careful consideration must be given to the patient’s needs and the procedural requirements before selecting the appropriate code. A modifier is allowed but in the above note it seems that he used the same needle so it would not be appropriate to bill the 20610, just the 77002 and the 27093. We would like to show you a description here but the site won’t allow us. Jan 10, 2018 · If you're referring to CPT codes that now include those services, you will need to show him the description of the codes that now include 77002 and/or 77003. We used ICD 9 code 715. Any use of CPT outside of the Medical Policy should refer to the most current Physician's Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. While it falls within the surgical range, many other injection codes do as well. 2 days ago · AMA Clinical Examples in Radiology - 2021 Issue 1 (Winter) Radiology Test Case Answer RADIOLOGY TEST CASE ANSWER: Magnetic Resonance Arthrogram of Hip HOW TO CODE 27093 Injection procedure for hip arthrography; without anesthesia 73722 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material (s) 77002 Fluoroscopic guidance for needle placement (eg, biopsy CPT code 27093 is for an injection procedure related to a hip x-ray, used to enhance imaging and diagnose conditions. The exhibits list valid CPT/HCPCS codes and indicate which codes are eligible for reimbursement. The provider is billing 20610/73525. May 27, 2014 · 27093 is an injection procedure for hip arthrography without anesthesia. It is an X-ray technique that shows movement in real-time using contrast Use CPT code 64999 (Unlisted procedure, nervous system) for pulsed radiofrequency and the denervation procedures of the sacro-iliac joint/nerves. Ensure you're working with the most up-to-date version of CPT Code 27093 by opening it in our free code lookup tool. CPT code 27093 is for an injection procedure specifically targeting the hip joint, often performed to facilitate imaging through an x-ray. This is a diagnostic injection: 27093 – Injection for hip arthrography; without anesthesia 73565* – Radiologic examination, hip, arthrography J code – for drug injected NON JOINT(THIGH, CALF, FOOT) wo 73718 w/wo 73720 JOINT(HIP, KNEE, ANKLE) wo 73721 w/wo 73723 MRI ARTHROGRAM Hip 27093, 77002, 73722 Knee 27370, 77002, 73722 Ankle 27648, 77002, 73722 Nov 14, 2012 · Medicare is denying CPT CODE 27093 (injection procedure for hip arthrography; without anesthesia. CPT 27093 Official description of CPT 27093: Injection procedure for hip arthrography; without anesthesia. The CPT ® Advanced Coding Pack delivers authoritative coding guidance directly within your Codify by AAPC workflow — because when accuracy matters, you need SOC2-compliant resources backed by the gold standard in medical coding. These may be performed with CT or MRI enhancement. The Current Procedural Terminology (CPT ®) code 27091 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Pelvis and Hip Joint. In the parenthetical information below the code, it specifically states fluoroscopy is inclusive (bundled) into codes Mar 5, 2025 · Dye for the purpose of outlining the joint to diagnose a labral tear. Component coding allows the accurate reporting of all common arthrographic services. ” Apr 30, 2018 · Below is from the CMS NCCI policy manual 3. CPT code 27093 is for an injection procedure related to a hip x-ray, used to enhance imaging and diagnose conditions. Use this page to view details for the Local Coverage Article for Billing and Coding: Independent Diagnostic Testing Facility (IDTF). If the procedure code is not listed on the spreadsheet, providers will need to send in a written request explaining the procedure they wish to perform. 27093-27095 CPT® Coding Essentials for Orthopedics: Lower Extremities 2021 27093-27095 27093-27095 CPT® Coding Essentials for Orthopedics: Lower Extremities 2021 27093-27095 Furthermore, this code cannot be used in conjunction with CPT code 27093, which is reserved for the same procedure performed without anesthesia. May 30, 2017 · During either joint aspiration or injection, imaging guidance may be employed to ensure accurate needle placement. This . Based on your description, KZA recommends reporting CPT code 27093 the code that states, “without anesthesia. The procedure was done on outpatient basis at an outpatient clinic. Although many possible code choices exist, CPT coding rules for conventional and cross-sectional arthrography are unambiguous and relatively straightforward. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples. What is CPT Code 27093? The Current Procedural Terminology (CPT ®) code 27095 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Pelvis and Hip Joint. UHC Medicare is denying stating that only the 27093 should be Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Introduction or Removal Procedures on the Pelvis and Hip Joint 27086-27096 is a medical code set maintained by the American Medical Association. What is CPT Code 27093 CPT code 27093 is for an injection procedure specifically targeting the hip joint, often performed to facilitate imaging through an x-ray. In 2015, CPT® revised existing joint (or bursa) aspiration/injection codes to specify “without ultrasonic guidance,” while adding codes to describe the same procedures with ultrasonic (US) guidance: 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg Jan 1, 2010 · Wyoming Subscriber Answer: You can code both the injection and fluoroscopy, but the correct choices depend on how your physician completed the procedure. Code 27093 is the correct code for the injection into the hip without anesthesia. Aug 8, 2023 · I need guidance on this case. Ensure you're working with the most up-to-date version of CPT Code 73525 by opening it in our free code lookup tool. One mistake in billing a procedure during its CPT global period, and you could face claim denials or reduced payments. Clinical Context This code is used for hip arthrography procedures performed without the use of anesthesia. Do you have a CPT book? 1 day ago · Quickly calculate the ending date for Global Days based on one or more CPT codes. CMS payment policy allows one unit of service for any of these codes at a single patient encounter regardless of the number of needle placements performed. The CPT 27093 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. CPT code 27096 is used to describe the injection of medication into the sacroiliac joint for pain relief and treatment. Due to the fact, CPT 20610 is performed at same anatomical site on the same day as the arthrogram injection 27093, it would not support adding the modifier 59 to CPT 20610. 95. Aug 4, 2020 · CPT codes 27093 and 27095 addressed in your question are defined as follows: 27093: Injection procedure for hip arthrography; without anesthesia. Jun 4, 2014 · When a physician performs a conventional (radiographic) hip arthrogram, you should report an arthrography injection code (27093, Injection procedure for hip arthrography; without anesthesia, or 27095, Injection procedure for hip arthrography; with anesthesia) and the arthrography imaging code 73525 (Radiologic examination, hip, arthrography What is CPT Code 27093 CPT code 27093 is for an injection procedure specifically targeting the hip joint, often performed to facilitate imaging through an x-ray. How To Use CPT Code 27093 CPT 27093 describes the injection procedure for hip arthrography without anesthesia. CPT code 77002 is for using X-ray guidance to precisely locate a needle's position, often used in procedures like biopsies or injections. Nov 13, 2025 · CPT ® Code Set 27093 - CPT® Code in category: Injection procedure for hip arthrography CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. How many wRVUs is 27093 in 2025? CPT code 27093 has 1. Pulsed radiofrequency for denervation is considered investigational and therefore, not medically necessary. We are having A "BACK AND FORTH" with an Insurance Mar 19, 2023 · Use this page to view details for the Local Coverage Article for Billing and Coding: Sacroiliac Joint Injections and Procedures. The first tab shows the complete OPG Exhibit and the second tab lists the changes to impacted codes from one period to another. Aug 21, 2023 · Learn about CPT code 27093 for hip arthrography and how to use modifiers 50, 51, and 22 for accurate billing and claims processing. The 77002 CPT code can be used when the physician performs service under fluoroscopic guidance for needle placement in addition to the primary procedure such as injection, aspiration, biopsy, and localization device. wjeynuuoqnjgzkbzkwjyxzzevayzuesakgsnydhijggzoqlahwdypauernwdcevofbdzqr