How To Use CPT Code 27093

CPT 27093 describes the injection procedure for hip arthrography without anesthesia. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27093?

CPT 27093 can be used to describe the injection procedure for hip arthrography without anesthesia. This code is used when a provider injects contrast material into the hip joint for an X-ray examination of the hip joint. The procedure is performed without the administration of anesthesia to the patient.

2. Official Description

The official description of CPT code 27093 is: ‘Injection procedure for hip arthrography; without anesthesia.’

3. Procedure

  1. The provider prepares the patient for the procedure.
  2. Using fluoroscopic guidance, the provider inserts a needle into the joint cavity of the hip joint.
  3. The provider confirms the position of the needle and may withdraw a sample of synovial fluid for testing.
  4. A contrast material is injected into the hip joint cavity.
  5. The provider performs an X-ray examination of the hip joint, including various positioning of the hips and additional sets of X-rays after movement of the hips.
  6. The procedure is performed without the administration of anesthesia to the patient.

4. Qualifying circumstances

This procedure is performed on patients who require an X-ray examination of the hip joint using contrast material. The patient does not receive anesthesia during the procedure. The provider uses fluoroscopic guidance to ensure accurate needle placement and may withdraw synovial fluid for testing if necessary.

5. When to use CPT code 27093

CPT code 27093 should be used when a provider performs an injection procedure for hip arthrography without anesthesia. This code is appropriate when contrast material is injected into the hip joint for an X-ray examination of the hip joint, and anesthesia is not administered to the patient.

6. Documentation requirements

To support a claim for CPT code 27093, the provider must document the following information:

  • Indication for the procedure
  • Confirmation of needle position using fluoroscopic guidance
  • Injection of contrast material into the hip joint cavity
  • Description of the X-ray examination performed
  • Any additional sets of X-rays taken after movement of the hips
  • Confirmation that the procedure was performed without anesthesia

7. Billing guidelines

When billing for CPT code 27093, ensure that the procedure was performed without anesthesia. Do not report CPT code 27093 if anesthesia was administered during the procedure. It is important to follow the specific guidelines provided by the payer regarding the use of CPT code 27093 and any associated modifiers.

8. Historical information

CPT code 27093 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

  1. A provider performs an injection procedure for hip arthrography without anesthesia on a patient with suspected hip joint pathology.
  2. Using fluoroscopic guidance, a provider injects contrast material into the hip joint cavity for an X-ray examination of the hip joint without administering anesthesia to the patient.
  3. A patient undergoes an injection procedure for hip arthrography without anesthesia to assess the integrity of the hip joint.
  4. A provider performs an X-ray examination of the hip joint after injecting contrast material without administering anesthesia to the patient.
  5. Using fluoroscopic guidance, a provider accurately positions a needle in the hip joint cavity and injects contrast material without anesthesia for an X-ray examination of the hip joint.
  6. A patient receives an injection procedure for hip arthrography without anesthesia to evaluate hip joint pathology.
  7. A provider performs an X-ray examination of the hip joint after injecting contrast material without administering anesthesia to assess hip joint abnormalities.
  8. Using fluoroscopic guidance, a provider injects contrast material into the hip joint cavity without anesthesia for an X-ray examination of the hip joint.
  9. A patient undergoes an injection procedure for hip arthrography without anesthesia to aid in the diagnosis of hip joint conditions.
  10. A provider performs an X-ray examination of the hip joint after injecting contrast material without administering anesthesia to assess hip joint function.

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