{
    "code": "27096",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/27096/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/27096/2016/C",
    "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 Q3 2016?",
        "text": "Medicare paid $164.34 for CPT 27096 in the office (non-facility) setting and $87.00 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it increased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "C",
        "label": "Q3 2016",
        "effective": "July 1 – September 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 164.34,
        "facility": 87,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.48,
        "practice_expense_non_facility": 2.98,
        "practice_expense_facility": 0.82,
        "malpractice": 0.13
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q3 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/C",
        "file": "PPRRVU16_V0517.csv",
        "row": 6403,
        "sha256": "81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9"
    },
    "modified_at": "2026-08-04T03:06:56+00:00"
}