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CPT 27093: Hip Arthrography Contrast Injection, No Anesthesia

CPT code 27093 represents an image-guided injection of contrast into the hip joint to perform hip arthrography, done without anesthesia. Nationally, this code standardizes reporting for a targeted diagnostic imaging procedure used to evaluate intra-articular hip pathology, labral tears, and prosthetic joint issues when detailed joint visualization is required. Accurate coding affects clinical documentation, imaging workflows, and payer adjudication for diagnostic radiology services.

Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how the code is used in clinical practice, typical sites of service, common billing modifiers (listed separately), and the types of benchmarks and policy issues that commonly influence coverage and reimbursement decisions for diagnostic arthrography procedures.

This publication covers clinical context for hip arthrography, coding and billing considerations relevant to radiology service lines, and the kinds of payer policies and utilization review triggers that can affect claim outcomes. Data not available in the input will be noted where applicable. The content is intended for clinicians, coding professionals, and policy analysts seeking a national-level briefing on CPT code 27093 and its operational implications.

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Billing Code Overview

CPT code 27093 describes injection of contrast material into a hip joint for hip arthrography, an X-ray examination of the hip joint. The procedure is performed without administration of anesthesia to the patient.

Service type: Image-guided diagnostic injection for arthrography
Typical site of service: Outpatient radiology suite or hospital radiology department

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CPT 27093: Hip Arthrography Contrast Injection, No Anesthesia

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Get alerted when payer policies referencing 27093 are released or updated.

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Billing Code Overview

Service type: Image-guided diagnostic injection for arthrography
Typical site of service: Outpatient radiology suite or hospital radiology department

Clinical & Coding Specifications

Clinical Context

A 54-year-old outpatient presents with progressive groin pain and decreased range of motion after prior hip injury and equivocal radiographs. The orthopedic surgeon requests hip arthrography to evaluate the integrity of the labrum and intra-articular cartilage prior to planning arthroscopic debridement. The radiology team performs 27093 by placing a sterile needle into the hip joint under fluoroscopic guidance, injecting iodinated contrast to distend the joint, and obtaining fluoroscopic images. No anesthesia is administered; topical antiseptic and local skin infiltration may be used per facility policy. Typical workflow: scheduling and insurance authorization, pre-procedure screening and informed consent, procedure room prep, fluoroscopic needle placement and contrast injection, image acquisition, post-procedure observation for complications, and report generation. Typical site of service is an outpatient radiology suite or ambulatory surgical center; inpatient performance occurs when ordered for hospitalized patients.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the interpreting physician's service separate from technical equipment/staff costs
`TC`	Technical component	Use when billing only the technical portion (equipment, technologist) of the arthrography
`50`	Bilateral procedure	Use when the provider performs hip arthrography on both left and right hips during the same session
`52`	Reduced services	Use when the procedure is partially reduced or not completed as planned
`53`	Discontinued procedure	Use when the procedure is terminated due to an unforeseen complication or patient intolerance
`59`	Distinct procedural service	Use to indicate a separate and distinct service when multiple procedures might be billed on the same day
`76`	Repeat procedure by same physician	Use when the same physician repeats the arthrography within the global period or same day due to technical failure
`77`	Repeat procedure by another physician	Use when a different physician repeats the procedure for technical reasons
`78`	Unplanned return to OR/procedure following initial procedure	Use if patient requires an immediate return for a related unplanned procedure (rare for arthrography)
`79`	Unrelated procedure or service by same physician	Use when an unrelated procedure is performed at the same encounter
`GA`	Waiver of liability statement on file	Use when the payer requires and documents advanced beneficiary notice (ABN) for non-covered service
`LT`	Left side	Use to designate the left hip when laterality is required
`RT`	Right side	Use to designate the right hip when laterality is required
`52`	Reduced services	Duplicate entry avoided; see above
`63`	Procedure performed on infants less than 4 kilograms	Rarely applicable; use only when patient meets weight criteria

Taxonomy Code	Specialty	Notes
2085P0200X	Diagnostic Radiology	Most common specialty performing fluoroscopic hip arthrography
207K00000X	Orthopedic Surgery	Orthopedists may perform or request arthrography and occasionally perform image-guided injections
363A00000X	Physical Medicine & Rehabilitation	PM&R physicians may perform diagnostic or therapeutic hip injections and coordinate imaging
349A00000X	Rheumatology	Rheumatologists may request or perform joint injections and interpret arthrographic findings
2086S0123X	Musculoskeletal Radiology	Subspecialty radiologists often interpret arthrogram images and perform the procedure

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M75.15`	Bursitis of hip	May prompt diagnostic arthrography when intra-articular pathology is suspected vs periarticular bursitis
`M16.11`	Unilateral primary osteoarthritis of right hip	Arthrography can help evaluate intra-articular cartilage loss or labral pathology in osteoarthritis workup
`M16.12`	Unilateral primary osteoarthritis of left hip	Same relevance as `M16.11` for the left hip
`S73.00XA`	Dislocation of unspecified part of hip, initial encounter	Post-injury evaluation of intra-articular structures and joint congruity may use arthrography
`M25.551`	Pain in right hip	Symptom code commonly associated with imaging-directed diagnostic arthrography
`M25.552`	Pain in left hip	Symptom code for left-sided hip pain leading to arthrography
`M24.451`	Recurrent dislocation, right hip	Used when assessing residual instability or labral injury with arthrography
`S73.01XA`	Dislocation of right hip, initial encounter	Traumatic history prompting evaluation with hip arthrography

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27092`	Injection procedure for hip arthrography, including arthrography under imaging guidance with anesthesia	Performed when conscious sedation or local/regional anesthesia is administered; alternative to `27093` when anesthesia documented
`73030`	Radiologic examination, hip, unilateral; complete, 2 or 3 views	Commonly performed before or after arthrography to assess bony anatomy and correlation with arthrographic findings
`73040`	Radiologic exam, hip, unilateral, minimum 1 view	May be used for limited radiographic evaluation in conjunction with arthrography
`73721`	Magnetic resonance (MR) arthrography, hip, without contrast material; surface coil	MR arthrography is frequently performed after contrast injection to evaluate labral tears and cartilage pathology; contrast injected under fluoroscopy (CPT `27093`) may be followed by `73721`
`77002`	Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection), radiological supervision and interpretation	Used to report fluoroscopic guidance and supervision when separate reporting is required alongside the arthrography procedure
`99070`	Supplies and materials (eg, sterile tray, contrast)	Used to bill expendable supplies related to performing the arthrography when payer allows separate supply charges

CPT 27086: Removal of Foreign Body from Subcutaneous Pelvis or Hip

CPT-27087-PELVIS-HIP-DEEP-TISSUE-FOREIGN-BODY-REMOVAL

CPT 27087: Removal of Foreign Body, Deep Pelvis or Hip

CPT-27090-HIP-PROSTHESIS-REMOVAL

CPT 27090: Removal of Hip Joint Prosthesis, Separate Procedure

CPT-27091-TOTAL-HIP-PROSTHESIS-REMOVAL-CEMENT-EXPLANTATION

CPT 27091: Removal of Cemented Total Hip Prosthesis

CPT-27095-HIP-ARTHROGRAPHY-CONTRAST-INJECTION-WITH-ANESTHESIA

CPT 27095: Hip Arthrography with Contrast Injection and Anesthesia

CPT-27096-SACROILIAC-JOINT-INJECTION-IMAGE-GUIDED

CPT 27096: Sacroiliac Joint Injection with Image Guidance

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the interpreting physician's service separate from technical equipment/staff costs
`TC`	Technical component	Use when billing only the technical portion (equipment, technologist) of the arthrography
`50`	Bilateral procedure	Use when the provider performs hip arthrography on both left and right hips during the same session
`52`	Reduced services	Use when the procedure is partially reduced or not completed as planned
`53`	Discontinued procedure	Use when the procedure is terminated due to an unforeseen complication or patient intolerance
`59`	Distinct procedural service	Use to indicate a separate and distinct service when multiple procedures might be billed on the same day
`76`	Repeat procedure by same physician	Use when the same physician repeats the arthrography within the global period or same day due to technical failure
`77`	Repeat procedure by another physician	Use when a different physician repeats the procedure for technical reasons
`78`	Unplanned return to OR/procedure following initial procedure	Use if patient requires an immediate return for a related unplanned procedure (rare for arthrography)
`79`	Unrelated procedure or service by same physician	Use when an unrelated procedure is performed at the same encounter
`GA`	Waiver of liability statement on file	Use when the payer requires and documents advanced beneficiary notice (ABN) for non-covered service
`LT`	Left side	Use to designate the left hip when laterality is required
`RT`	Right side	Use to designate the right hip when laterality is required
`52`	Reduced services	Duplicate entry avoided; see above
`63`	Procedure performed on infants less than 4 kilograms	Rarely applicable; use only when patient meets weight criteria

Taxonomy Code	Specialty	Notes
2085P0200X	Diagnostic Radiology	Most common specialty performing fluoroscopic hip arthrography
207K00000X	Orthopedic Surgery	Orthopedists may perform or request arthrography and occasionally perform image-guided injections
363A00000X	Physical Medicine & Rehabilitation	PM&R physicians may perform diagnostic or therapeutic hip injections and coordinate imaging
349A00000X	Rheumatology	Rheumatologists may request or perform joint injections and interpret arthrographic findings
2086S0123X	Musculoskeletal Radiology	Subspecialty radiologists often interpret arthrogram images and perform the procedure

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M75.15`	Bursitis of hip	May prompt diagnostic arthrography when intra-articular pathology is suspected vs periarticular bursitis
`M16.11`	Unilateral primary osteoarthritis of right hip	Arthrography can help evaluate intra-articular cartilage loss or labral pathology in osteoarthritis workup
`M16.12`	Unilateral primary osteoarthritis of left hip	Same relevance as `M16.11` for the left hip
`S73.00XA`	Dislocation of unspecified part of hip, initial encounter	Post-injury evaluation of intra-articular structures and joint congruity may use arthrography
`M25.551`	Pain in right hip	Symptom code commonly associated with imaging-directed diagnostic arthrography
`M25.552`	Pain in left hip	Symptom code for left-sided hip pain leading to arthrography
`M24.451`	Recurrent dislocation, right hip	Used when assessing residual instability or labral injury with arthrography
`S73.01XA`	Dislocation of right hip, initial encounter	Traumatic history prompting evaluation with hip arthrography

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27092`	Injection procedure for hip arthrography, including arthrography under imaging guidance with anesthesia	Performed when conscious sedation or local/regional anesthesia is administered; alternative to `27093` when anesthesia documented
`73030`	Radiologic examination, hip, unilateral; complete, 2 or 3 views	Commonly performed before or after arthrography to assess bony anatomy and correlation with arthrographic findings
`73040`	Radiologic exam, hip, unilateral, minimum 1 view	May be used for limited radiographic evaluation in conjunction with arthrography
`73721`	Magnetic resonance (MR) arthrography, hip, without contrast material; surface coil	MR arthrography is frequently performed after contrast injection to evaluate labral tears and cartilage pathology; contrast injected under fluoroscopy (CPT `27093`) may be followed by `73721`
`77002`	Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection), radiological supervision and interpretation	Used to report fluoroscopic guidance and supervision when separate reporting is required alongside the arthrography procedure
`99070`	Supplies and materials (eg, sterile tray, contrast)	Used to bill expendable supplies related to performing the arthrography when payer allows separate supply charges

CPT 27086: Removal of Foreign Body from Subcutaneous Pelvis or Hip

CPT-27087-PELVIS-HIP-DEEP-TISSUE-FOREIGN-BODY-REMOVAL

CPT 27087: Removal of Foreign Body, Deep Pelvis or Hip

CPT-27090-HIP-PROSTHESIS-REMOVAL

CPT 27090: Removal of Hip Joint Prosthesis, Separate Procedure

CPT-27091-TOTAL-HIP-PROSTHESIS-REMOVAL-CEMENT-EXPLANTATION

CPT 27091: Removal of Cemented Total Hip Prosthesis

CPT-27095-HIP-ARTHROGRAPHY-CONTRAST-INJECTION-WITH-ANESTHESIA

CPT 27095: Hip Arthrography with Contrast Injection and Anesthesia

CPT-27096-SACROILIAC-JOINT-INJECTION-IMAGE-GUIDED

CPT 27096: Sacroiliac Joint Injection with Image Guidance

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 27093: Hip Arthrography Contrast Injection, No Anesthesia

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Billing Code Overview

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OpenPayer

CPT 27093: Hip Arthrography Contrast Injection, No Anesthesia

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References