2000年至2014年医疗保险人群中的鼻窦手术：近期球囊鼻窦成形术的激增。

Sinus procedures in the Medicare population from 2000 to 2014: A recent balloon sinuplasty explosion.

作者信息

Calixto Nathaniel E, Gregg-Jaymes Twyla, Liang Jonathan, Jiang Nancy

机构信息

University of California, Irvine School of Medicine, Irvine, U.S.A.

Head and Neck Surgery Department, Kaiser Permanente Oakland Medical Center, Oakland, California, U.S.A.

出版信息

Laryngoscope. 2017 Sep;127(9):1976-1982. doi: 10.1002/lary.26597. Epub 2017 Apr 11.

OBJECTIVE

To describe sinus procedure trends from 2000 to 2014, particularly following the introduction of balloon sinuplasty Common Procedural Technology (CPT) codes in 2011.

STUDY DESIGN

Retrospective review of Medicare billing data available to the public.

METHODS

Procedure and beneficiary data from 2000 to 2014 and provider data from 2012 to 2014 were obtained online from the Centers for Medicare and Medicaid Services. Sinus CPT codes were classified as balloon sinus procedure (BSP) or nonballoon sinus procedure (nBSP). Providers billing for sinus procedures were categorized as BSP only, nBSP only, or both. For comparison, data on septoplasty procedures from 2000 to 2014 were obtained.

RESULTS

From 2000 to 2014, the total number of sinus procedures per 10 thousand beneficiaries (PP10K) nationwide increased by 3.7% annually. From 2011 to 2014, nBSP PP10K decreased by 3.1% annually, and BSP PP10K increased by 59% annually. Septoplasty PP10K changed by < 1% annually between 2000 and 2014. States with the highest BSP PP10K from 2012 to 2014 were Kansas, Texas, and Louisiana. Providers performing sinus procedures increased by 30.9% from 2012 to 2014. There was a 244% increase in BSP-only providers, a 0.7% increase in nBSP-only providers, and an 83.3% increase in providers using both. Septoplasty providers increased by 4.1%.

CONCLUSION

Although the total number of sinus procedures increased from 2000 to 2014, the number of BSP increased at a substantially greater rate since the introduction of CPT codes for these procedures in 2011. Nationwide increases in sinus providers were driven by new providers performing balloon-guided procedures.

LEVEL OF EVIDENCE

Laryngoscope, 127:1976-1982, 2017.

目的

描述2000年至2014年鼻窦手术的趋势，特别是在2011年引入球囊鼻窦成形术通用程序技术（CPT）编码之后。

研究设计

对公开的医疗保险计费数据进行回顾性分析。

方法

从医疗保险和医疗补助服务中心在线获取2000年至2014年的手术和受益方数据以及2012年至2014年的医疗服务提供者数据。鼻窦CPT编码分为球囊鼻窦手术（BSP）或非球囊鼻窦手术（nBSP）。进行鼻窦手术计费的医疗服务提供者分为仅进行BSP、仅进行nBSP或两者皆有的类别。为作比较，获取了2000年至2014年鼻中隔成形术的数据。

结果

2000年至2014年，全国每万名受益方的鼻窦手术总数（每10000名受益方的手术数，PP10K）每年增长3.7%。2011年至2014年，nBSP的PP10K每年下降3.1%，而BSP的PP10K每年增长59%。2000年至2014年，鼻中隔成形术的PP10K每年变化<1%。2012年至2014年，BSP的PP10K最高的州是堪萨斯州、得克萨斯州和路易斯安那州。2012年至2014年，进行鼻窦手术的医疗服务提供者增加了30.9%。仅进行BSP的医疗服务提供者增加了244%，仅进行nBSP的医疗服务提供者增加了0.7%，同时使用两者的医疗服务提供者增加了83.3%。鼻中隔成形术的医疗服务提供者增加了4.1%。

结论

尽管2000年至2014年鼻窦手术总数有所增加，但自2011年引入这些手术的CPT编码以来，BSP的数量增长速度要快得多。鼻窦手术医疗服务提供者在全国范围内的增加是由进行球囊引导手术的新医疗服务提供者推动的。

证据水平

4。《喉镜》，127:1976 - 1982，2017年。