Medicare Sets $19,441 Office Rate for SI Joint Code 27279 in 2027
Tampa – November 06, 2026 -- Medicare will pay a national non-facility (office) rate of approximately $19,441 for CPT code 27279 starting January 1, 2027, according to PainTEQ's reading of the CMS Calendar Year 2027 Physician Fee Schedule Final Rule (CMS-1848-F). The code covers percutaneous or minimally invasive sacroiliac (SI) joint arthrodesis using devices with intrinsic fixation that pierce the cortices. It had no office rate before that date.
CMS finalizes practice expense inputs that create the first office rate for 27279
Under the 2026 Physician Fee Schedule, code 27279 carried a facility payment rate only. For 2027, CMS finalized the RUC-recommended practice expense inputs, which produce the new office rate. The $19,441 figure is before geographic adjustment, sequestration and patient cost sharing, and actual payment varies by locality.