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为成人和儿童尾切除产生新的CPT代码集

Christopher P Childers^1,2, Don J Selzer³, Michael L Green⁴

¹Department of Surgery, University of Washington, Seattle.

|August 20, 2025

概括

这项研究提出了基于外科医生工作的16个新的尾术语 (CPT) 代码,旨在现代化开放式和腹腔镜手术的描述. 这些发现确定了需要不同水平的手术的不同患者群体.

科学领域:

手术编码和补偿
医疗服务研究
医学经济学

背景情况:

目前的尾切除程序术语 (CPT) 代码已经保持不变超过30年.
现有的代码可能不准确地反映了医生在现代尾切除手术中的工作.
重新评估CPT代码可以提高工作相对值单位的准确性.

研究的目的:

为开发尾切除术的新代码结构提供经验数据.
为了确定不同的病人群体与不同的外科医生对尾切除的要求.
提供CPT代码及其描述的潜在现代化信息.

主要方法:

美国国家外科质量改善计划 (NSQIP) 尾切除专项档案的回顾 (2021-2023年).
分析包括成人和儿童尾切除病例.
通过手术时间,术后停留时间和并发症率来衡量外科医生的工作.

主要成果:

分析了110,379例尾切除的情况.
在25.9%的病例中存在复杂的尾炎;开放程序占2. 8%.
与增加外科医生工作显著相关的因素包括复杂的疾病,极端年龄 (≤5或≥65岁),间隔尾切除和瘤尾切除. 根据这些,提出了16个新的代码 (8个是腹腔镜,8个是开放的).

结论:

这项研究为开发新的尾切除术CPT代码提供了第一个经验框架.
使用外科医生工作的客观测量来确定不同的患者群体.
建议的框架可以帮助现代化CPT代码和尾切除术的描述,反映当前的外科实践.

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