2025 CPT code 27093
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Musculoskeletal System - Introduction or Removal Procedures on the Pelvis and Hip Joint Surgery Feed
Injection procedure for hip arthrography; without anesthesia.
Modifiers may be applicable depending on the circumstances, such as 52 for reduced services, 76 for a repeat procedure by the same physician, or 77 for a repeat procedure by a different physician. Modifier 53 for discontinued services might apply if the procedure is stopped before completion. Use appropriate modifiers based on payer guidelines.
Medical necessity for this procedure must be established. This typically involves documenting the patient's symptoms, failed conservative treatments, and the clinical question that the arthrogram is intended to answer. The decision to perform the procedure without anesthesia should also be justified, often based on patient preference or medical contraindications to anesthesia.
The physician prepares the patient, uses fluoroscopic guidance to insert a needle into the hip joint cavity, may withdraw synovial fluid for testing, injects the contrast material, and then performs the X-ray examination, which may include different hip positions and additional X-rays after hip movement.
In simple words: The doctor injects dye into your hip joint to make it easier to see on X-ray.This is done to help diagnose hip problems. This procedure is performed without putting you to sleep.
This code describes a procedure where a contrast material is injected into the hip joint for arthrography (an X-ray examination of the joint) without the administration of anesthesia.
Example 1: A patient presents with chronic hip pain and limited range of motion. An MRI is inconclusive, so the physician performs a hip arthrography without anesthesia (27093) to better visualize the joint structures and evaluate for labral tears or other abnormalities. , Following a hip injury, a patient experiences persistent clicking and discomfort.To evaluate for a possible loose body or cartilage damage, the physician performs a hip arthrography without anesthesia (27093)., An athlete with recurrent hip pain undergoes a hip arthrography without anesthesia (27093) to assess the integrity of the joint and rule out any internal derangement before returning to sports.
Documentation should include details of the procedure, including confirmation of needle placement, the type and amount of contrast used, the X-ray findings, and any synovial fluid analysis. The medical necessity for the procedure should also be clearly documented, along with the patient's symptoms and the reason for choosing arthrography without anesthesia.
- Specialties:Radiology, Orthopedic Surgery, Sports Medicine
- Place of Service:Office, On Campus-Outpatient Hospital,Off Campus-Outpatient Hospital,Ambulatory Surgical Center, and other outpatient settings.