预测2023年现行程序术语编码变化对腹腔 Hernia 工作相对价值单位的影响. 一个横截面研究
Mazen R Al-Mansour1, Sabrina Drexel2, Michael Reinhorn3
1University of Florida, Department of Surgery, Gainesville, FL.
Surgery
|November 10, 2023
概括
新的当前程序术语代码用于2023年腹修复显示,工作相对价值单位的适度增加. 这些变化可能会影响临床生产力,这取决于实践模式和病例组合.
科学领域:
- 外科手术 手术手术
- 卫生经济学 卫生经济学
- 医学编码 医学编码
背景情况:
- 在2023年1月,目前的手术术语 (CPT) 对腹腔修复的代码进行了更新,引入了新的代码与0天的全球周期.
- 这些CPT代码更改对临床生产力和医生补偿的确切影响仍有待确定.
研究的目的:
- 预测2023年现行程序术语代码修改对腹腔修复工作相对值单位 (wRVU) 的影响.
- 通过使用腹修复的历史数据来分析wRVU的变化.
主要方法:
- 研究人员对2021年3月至2022年12月期间进行的143次成人腹腔修复进行了回顾性审查.
- 腹腔修复被编码使用以前和新的CPT系统来计算和比较90天的中位数wRVUs.
- 使用威尔科克森签名等级测试进行了统计比较.
主要成果:
- 新的CPT编码系统显示,与以前的系统 (13.8;P = .002) 相比,90天wRVUs的中位数每例 (14.1) 在统计上显著增加.
- 亚组分析显示,较高的wRVU与大型缺陷 (>10厘米),带/腹膜/Spigelian,复发和开放修复的新代码.
- 相反,在非复发性和监禁/窒息的新代码下观察到较低的wRVU.
结论:
- 预计2023年现行程序术语代码的更改将对该实践中的临床生产力产生适度的影响.
- 对任何特定的外科手术实践的实际影响将取决于特定的外科手术方法和常见的腹病例混合.
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