From the Department of Orthopaedic Surgery and Sports Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
J Am Acad Orthop Surg. 2024 Jul 1;32(13):604-610. doi: 10.5435/JAAOS-D-23-00080. Epub 2024 Apr 10.
Although hip arthroscopy continues to be one of the most used arthroscopic procedures, no focused, comprehensive evaluation of reimbursement trends has been conducted. The purpose of this study was to analyze the temporal Medicare reimbursement trends for hip arthroscopy procedures.
From 2011 to 2021, the Medicare Physician Fee Schedule Look-Up Tool was queried for Current Procedural Terminology (CPT) codes related to hip arthroscopy (29860 to 29863, 29914 to 29916). All monetary data were adjusted to 2021 US dollars. The compound annual growth rate and total percentage change were calculated. Mann-Kendall trend tests were used to evaluate the reimbursement trends.
Based on the unadjusted values, a significant increase in physician fee was observed from 2011 to 2021 for CPT codes 29861 (removal of loose or foreign bodies; % change: 3.49, P = 0.03) and 29862 (chondroplasty, abrasion arthroplasty, labral resection; % change: 3.19, P = 0.03). The remaining CPT codes experienced no notable changes in reimbursement based on the unadjusted values. After adjusting for inflation, all seven of the hip arthroscopy CPT codes were observed to experience a notable decline in Medicare reimbursement. Hip arthroscopy with acetabuloplasty (CPT: 29915) and labral repair (CPT: 29916) exhibited the greatest reduction in reimbursement with a decrease in physician fee of 24.69% ( P < 0.001) and 24.64% ( P < 0.001), respectively, over the study period.
Medicare reimbursement for all seven of the commonly used hip arthroscopy services did not keep up with inflation, demonstrating marked reductions from 2011 to 2021. Specifically, the inflation-adjusted reimbursements decreased between 19.23% and 24.69% between 2011 and 2021.
尽管髋关节镜检查仍然是最常用的关节镜检查程序之一，但尚未对报销趋势进行集中、全面的评估。本研究的目的是分析髋关节镜检查程序的医疗保险报销趋势的时间变化。
从 2011 年至 2021 年，使用 Medicare 医师费用表查询工具查询与髋关节镜检查相关的当前程序术语 (CPT) 代码（29860 至 29863、29914 至 29916）。所有货币数据均调整为 2021 年美元。计算复合年增长率和总百分比变化。采用曼肯德尔趋势检验评估报销趋势。
根据未经调整的值，CPT 代码 29861（去除游离或异物；%变化：3.49，P = 0.03）和 29862（软骨成形术、磨蚀性关节成形术、唇切除术；%变化：3.19，P = 0.03）的医师费用从 2011 年至 2021 年显著增加。根据未经调整的值，其余 CPT 代码的报销没有明显变化。在考虑通胀因素后，观察到所有 7 种髋关节镜检查 CPT 代码的医疗保险报销明显下降。髋臼成形术（CPT：29915）和唇修复（CPT：29916）的髋关节镜检查的报销减少最多，医师费用分别减少了 24.69%（P < 0.001）和 24.64%（P < 0.001），在研究期间。
所有七种常用髋关节镜检查服务的医疗保险报销均未跟上通胀步伐，显示出从 2011 年到 2021 年的显著下降。具体来说，2011 年至 2021 年期间，经通胀调整后的报销减少了 19.23%至 24.69%。
