Summary & Overview
CPT 27095: Hip Arthrography with Contrast Injection and Anesthesia
CPT code 27095 covers hip arthrography performed by injecting contrast into the hip joint followed by fluoroscopic or radiographic imaging, with administration of anesthesia. This procedure is an imaging-guided diagnostic injection used to evaluate intra-articular hip pathology, labral tears, cartilage defects, and prosthetic joint assessments when indicated. Nationally, hip arthrography remains an important modality in the diagnostic pathway for select orthopedic and radiology practices because it combines targeted contrast injection with immediate imaging under anesthesia to improve diagnostic accuracy and patient tolerance.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context and typical sites of service, common billing modifiers and variations, and an outline of benchmarks and policy-relevant considerations where available. The summary highlights reimbursement and coding considerations relevant to surgical centers and outpatient radiology settings, as well as common billing scenarios involving anesthesia during image-guided procedures.
This publication provides practical reference material for revenue cycle, coding specialists, and policy analysts seeking a national perspective on coding, billing, and clinical use of CPT code 27095. Data not available in the input will be noted where applicable.
Billing Code Overview
CPT code 27095 describes an arthrography of the hip in which the provider injects contrast material into the hip joint and then performs an X‑ray examination of the joint. The procedure is carried out with administration of anesthesia to the patient.
Service type: Image-guided diagnostic injection with arthrography
Typical site of service: Outpatient radiology suite or ambulatory surgical center
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with chronic groin and lateral hip pain after prior total hip arthroplasty is referred for diagnostic hip arthrography to evaluate prosthetic loosening and intra-articular pathology. The patient arrives fasting and is evaluated by the procedural team. After informed consent, the patient is brought to an interventional radiology or fluoroscopy procedure suite or an ambulatory surgery center. Conscious sedation or monitored anesthesia care is administered by an anesthesia professional per the procedure description. Under sterile technique and fluoroscopic guidance, the provider palpates landmarks, uses local anesthesia at the skin entry site, and advances a spinal or arthrography needle into the hip joint. Contrast material is injected to confirm intra-articular placement and to permit fluoroscopic arthrography imaging. Images are obtained and reviewed for joint space outline, prosthetic component position, and presence of leak or synovial abnormality. The patient is recovered in a post-anesthesia care unit and discharged with post-procedure instructions and follow-up arranged with orthopedics or the referring clinician.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing only the physician interpretation component separate from technical services if applicable. |