# CPT 27096

> Medicare paid $170.28 for CPT 27096 in the office (non-facility) setting and $84.79 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.4% increase from the previous quarter.

## What it is

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.

## Selected release

- Release: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $170.28
- Facility national allowed amount: $84.79
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.48
- Office (non-facility) practice expense RVU: 3.26
- Facility practice expense RVU: 0.81
- Malpractice RVU: 0.14
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 7,197
- Canonical page: https://localishealth.com/cpt/27096/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/27096/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00