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Surgeon Gender-Related Differences in Operative Coding in Plastic Surgery.

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Gender disparities in plastic surgery income are partly explained by differences in billing and coding practices. Male surgeons billed higher work relative value units and performed more major cases, contributing to the income gap.

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Area of Science:

  • Medical Economics
  • Surgical Outcomes
  • Health Equity

Background:

  • The income gap between male and female physicians is a recognized issue in medical and surgical fields.
  • Existing literature has not fully explained the reasons behind this disparity.

Purpose of the Study:

  • To investigate if gender-related differences in billing and coding practices contribute to the income gap among plastic surgeons.
  • To test the hypothesis that male surgeons have higher work relative value units and perform more complex cases.

Main Methods:

  • Analysis of 1036 plastic surgery candidates' case lists from 2014-2018.
  • Evaluation of surgeon gender's relationship with work relative value units, coding, case types (major/minor), and work setting.
  • Data deidentified by the American Board of Plastic Surgery.

Main Results:

  • Male surgeons billed 19.34% more total work relative value units than female surgeons.
  • Male surgeons performed 14.28% more major cases compared to female surgeons.
  • Significant differences were observed in billed work relative value units per case and major case volume.

Conclusions:

  • Billing and coding practices partially explain income differences between male and female plastic surgeons.
  • Potential factors include a focus on larger, more complex cases and variations in coding strategies.
  • Findings highlight the need to address systemic factors influencing physician compensation.