How To Use CPT Code 27095

CPT 27095 describes the injection procedure for hip arthrography with anesthesia. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27095?

CPT 27095 is used to describe the injection procedure for hip arthrography with 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 injection is performed after the administration of anesthesia to the patient.

2. Official Description

The official description of CPT code 27095 is: ‘Injection procedure for hip arthrography; with anesthesia.’

3. Procedure

1. The provider prepares the patient for the procedure and administers anesthesia.
2. Using fluoroscopic guidance, the provider inserts a needle into the hip joint cavity.
3. The provider confirms the position of the needle and may withdraw a sample of synovial fluid for testing.
4. The provider injects contrast material 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.

4. Qualifying circumstances

CPT 27095 is used when the provider performs the injection procedure for hip arthrography with anesthesia. This procedure is typically performed on patients who require an X-ray examination of the hip joint and have been appropriately prepped and anesthetized. The injection of contrast material allows for better visibility of the internal structures or organs of the hip joint.

5. When to use CPT code 27095

CPT code 27095 should be used when the provider performs the injection procedure for hip arthrography with anesthesia. It is important to note that this code should not be used if the procedure is performed without anesthesia. In such cases, CPT code 27093 should be used instead.

6. Documentation requirements

To support a claim for CPT code 27095, the provider must document the following information:

• Indication for the procedure
• Administration of anesthesia
• Confirmation of needle position
• Injection of contrast material
• Details of the X-ray examination, including positioning and additional sets of X-rays

7. Billing guidelines

When billing for CPT code 27095, ensure that the procedure is performed with anesthesia. It is important to follow the specific guidelines provided by the payer regarding the use of this code. Additionally, be aware of any bundling or unbundling issues that may affect the billing of this code.

8. Historical information

CPT code 27095 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 administers anesthesia to a patient and performs an injection procedure for hip arthrography to examine the hip joint.
2. Using fluoroscopic guidance, a provider inserts a needle into the hip joint cavity, injects contrast material, and performs an X-ray examination of the hip joint after administering anesthesia.
3. A patient undergoes the injection procedure for hip arthrography with anesthesia, allowing for better visualization of the hip joint during an X-ray examination.
4. A provider confirms the position of the needle in the hip joint cavity, injects contrast material, and performs various X-ray views of the hip joint after administering anesthesia.
5. After appropriately prepping and anesthetizing a patient, a provider performs an injection procedure for hip arthrography to assess the hip joint using contrast material and X-ray imaging.
6. A patient receives anesthesia before a provider performs an injection procedure for hip arthrography, allowing for a detailed examination of the hip joint using contrast material and X-ray imaging.
7. Using fluoroscopic guidance, a provider inserts a needle into the hip joint cavity, injects contrast material, and performs an X-ray examination of the hip joint after administering anesthesia to the patient.
8. A patient undergoes the injection procedure for hip arthrography with anesthesia, enabling the provider to visualize the hip joint more clearly during an X-ray examination.
9. A provider confirms the position of the needle in the hip joint cavity, injects contrast material, and performs various X-ray views of the hip joint after administering anesthesia to the patient.
10. After appropriately prepping and anesthetizing a patient, a provider performs an injection procedure for hip arthrography to assess the hip joint using contrast material and X-ray imaging.