{
    "code": "27096",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/27096/2015/A",
    "release_specific_url": "https://localishealth.com/cpt/27096/2015/A",
    "description": "Injection of anesthetic and usually a steroid into the sacroiliac joint, the broad joint where the base of the spine meets the pelvis, with fluoroscopy or CT used to confirm the needle is actually inside the joint. Contrast is often injected first to prove placement. The imaging confirmation is integral to this code rather than an optional extra, because the joint is deep and irregular and blind placement is unreliable.",
    "answer": {
        "question": "How much did Medicare pay for CPT 27096 in Q1 2015?",
        "text": "Medicare paid $163.04 for CPT 27096 in the office (non-facility) setting and $86.53 in a facility under the Q1 2015 Physician Fee Schedule, effective January 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.3% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "A",
        "label": "Q1 2015",
        "effective": "January 1 – March 31, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 163.04,
        "facility": 86.53,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.48,
        "practice_expense_non_facility": 2.96,
        "practice_expense_facility": 0.82,
        "malpractice": 0.12
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.7547,
    "source": {
        "label": "Physician relative value file (Q1 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/A",
        "file": "PPRRVU15_V1223c.csv",
        "row": 6203,
        "sha256": "d600c52a7d5f75737599c9a879cc0ffc8c85766bee82e9e2eadf49af364314d2"
    },
    "modified_at": "2026-08-04T03:05:39+00:00"
}