{"url":"https://newsforagent.com/news/2026-11-06/painteq-cms-office-rate-cpt-27279","markdown_url":"https://newsforagent.com/news/2026-11-06/painteq-cms-office-rate-cpt-27279.md","title":"PainTEQ Wins Medicare Office Rate for CPT 27279","headline":"CMS Sets $19,441 Office Payment for CPT 27279, PainTEQ Says","description":"CMS finalized a $19,441 national office payment rate for CPT code 27279 starting January 1, 2027, giving PainTEQ's cortical-piercing SI joint procedures a new pathway.","section":"Regulation & Approvals","published_at":"2026-11-06T02:09:22+00:00","modified_at":"2026-11-06T02:09:22+00:00","author":"News Desk","key_takeaways":["CMS set a national non-facility payment rate of approximately $19,441 for CPT code 27279 effective January 1, 2027.","CPT code 27279 had only a facility payment rate under the 2026 Physician Fee Schedule.","PainTEQ's TRAQ implant pierces the sacral and iliac cortices, while LINQ does not pierce the cortices."],"companies":[{"name":"PainTEQ","is_primary":true,"profile_url":"https://akta.pro/company-profiles/00006ub/painteq","website":"https://www.painteq.com"},{"name":"Centers for Medicare & Medicaid Services","is_primary":false,"profile_url":"https://akta.pro/company-profiles/0000xey/centers-for-medicare-medicaid-services","website":"http://cms.gov"}],"source":{"publisher":"PR Newswire","title":"PainTEQ Highlights CMS 2027 Physician Fee Schedule Establishes Non-Facility (Office) Payment Rate for CPT Code 27279","url":"https://www.prnewswire.com/news-releases/painteq-highlights-cms-2027-physician-fee-schedule-establishes-non-facility-office-payment-rate-for-cpt-code-27279-302931570.html"},"other_sources":[],"tags":["Regulation & Approvals","PainTEQ","Centers for Medicare & Medicaid Services"],"body_markdown":"Medicare will pay approximately $19,441 for CPT code 27279 in the office setting starting January 1, 2027, under the Calendar Year 2027 Physician Fee Schedule final rule, [PainTEQ](https://akta.pro/company-profiles/00006ub/painteq) said in a [PR Newswire](https://www.prnewswire.com/news-releases/painteq-highlights-cms-2027-physician-fee-schedule-establishes-non-facility-office-payment-rate-for-cpt-code-27279-302931570.html) release. The code covers posterior sacroiliac joint procedures that pierce the cortices.\n\n## How CMS Set the 27279 Office Rate\n\nThe [Centers for Medicare & Medicaid Services](https://akta.pro/company-profiles/0000xey/centers-for-medicare-medicaid-services) finalized the RUC-recommended practice expense inputs for CPT code 27279, creating the national non-facility rate of approximately $19,441. Under the 2026 Physician Fee Schedule, the code had a facility payment rate only. The 2027 rule extends a comparable office payment pathway to technologies used in procedures reported with 27279, after CMS established a non-facility rate for CPT code 27278 in 2024.\n\nPainTEQ, founded in 2013 and headquartered in Tampa, Florida, develops minimally invasive solutions for chronic pain, including SI joint dysfunction, and helped pioneer posterior SI joint procedures with its LINQ and TRAQ products. The company said more than 1,000 posterior SI joint procedures with PainTEQ products have been performed in physician offices since the 27278 rate took effect.\n\n\"Creating a non-facility (office) payment rate for CPT code 27279 finally brings the fee schedule in line with the code,\" said Corey W. Hunter, MD, of the Montefiore Multidisciplinary Pain Program at Montefiore Einstein in New York. Douglas Beall, MD, interventional radiologist and Chief of Radiology Services at Clinical Radiology of Oklahoma, said: \"For the first time, physicians who practice in that setting have a payment pathway. Coverage is still each contractor's decision, and we'll all be watching for their policies to catch up.\"\n\n## PainTEQ's TRAQ Launch and Study Reach\n\nAccording to akta.pro [company records](https://akta.pro/company-data), PainTEQ recorded a U.S. commercial launch of TRAQ in May 2026, described as the first posterior SI joint implant designed to achieve bi-cortical fixation through a tissue-sparing 1-inch incision. The same records list the TRAQTION post-market study across 10 U.S. sites, with up to 100 subjects, and more than 14,000 procedures using the LinQ system as of October 2025.\n\n## Evidence Presented Before the Rate Change\n\nPainTEQ announced in July 2026 that new scientific findings at the American Society of Pain and Neuroscience 2026 Annual Conference supported its posterior sacroiliac joint fixation strategies, PR Newswire reported, including the PRADA Study showing that the TRAQ procedure's 2.5 mm cortical-piercing fixation ridges exceeded maximum cortical thickness across all demographic subgroups. In June 2026, the company announced enrollment of the first patient in the TRAQTION Study, a prospective multicenter clinical study evaluating outcomes of posterior sacroiliac joint procedures using the TRAQ allograft, PR Newswire reported.\n\n## What Happens on January 1, 2027\n\nThe office payment rate takes effect January 1, 2027. PainTEQ said its market access team is available to help practices work through site-of-service and prior authorization questions ahead of January. Coverage for CPT code 27279 remains subject to Medicare Administrative Contractor policies and medical necessity requirements.\n","publisher":{"name":"News for Agent","url":"https://newsforagent.com"}}