2025 CPT code 27095
(Active) Effective Date: N/A Revision Date: N/A Radiology - Arthrography Musculoskeletal System Feed
Injection procedure for hip arthrography; with anesthesia.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 50 for bilateral procedures, 76 for repeat procedures, 22 for increased procedural services, etc.). Consult the CPT manual and payer specific guidelines for clarification.
Medical necessity for a hip arthrogram is established when other less invasive methods of assessing hip joint pathology, such as physical examination and plain radiography, are insufficient to diagnose the patient's condition and inform treatment decisions.The procedure is medically necessary to visualize the internal structures of the hip joint to diagnose pathology such as osteoarthritis, labral tears, loose bodies, cartilage tears, or other intra-articular abnormalities.
The physician or qualified healthcare professional is responsible for administering anesthesia, inserting the needle into the hip joint under fluoroscopic guidance, injecting the contrast material, and interpreting the resulting X-ray images. They may also withdraw a sample of synovial fluid for testing.
In simple words: The doctor injects a special dye into the hip joint to take X-rays. This helps them see the hip joint clearly. The patient receives anesthesia during this procedure.
This procedure involves the injection of contrast material into a hip joint for hip arthrography, an X-ray examination of the hip joint performed after contrast injection.The procedure includes anesthesia administration, needle insertion into the hip joint cavity under fluoroscopic guidance, confirmation of needle position, optional synovial fluid sampling, contrast material injection into the joint cavity, and subsequent X-ray examination of the hip joint with various hip positions and additional X-ray sets after hip movement.
Example 1: A patient presents with persistent hip pain and limited range of motion.The physician orders a hip arthrogram to assess for joint damage or internal derangements, such as a torn labrum or cartilage damage.Code 27095 is used to report the injection and imaging with anesthesia., A patient has experienced a recent hip injury.The arthrogram is performed to evaluate for the presence of a fracture, loose bodies, or other internal pathology. The procedure is performed under anesthesia using code 27095., A patient undergoing pre-surgical planning for a hip replacement needs a detailed assessment of the joint anatomy and integrity. The arthrogram aids in surgical planning, and code 27095 is used to bill the procedure under anesthesia.
* Preoperative assessment and consent.* Anesthesia record.* Details of needle insertion and location (fluoroscopic images).* Volume and type of contrast material injected.* Description of imaging findings with interpretation.* Any synovial fluid analysis results.* Postoperative notes.
** The use of fluoroscopy is inherent to this procedure.Additional imaging or procedures should be reported separately using appropriate codes.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- Payment Status: Active
- Modifier TC rule: This procedure typically includes both professional (physician) and technical (facility) components.Check payer guidelines for specific billing and reimbursement rules.
- Specialties:Orthopedic Surgery, Radiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center