The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2025
Trends in medicare procedure utilization and physician fee reimbursement for foot and ankle arthrodesis and arthroplasty procedures.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hall LaMiah, Lalehzarian Simon P, Kelly Tyler, Jebeles Garrett, Myers Jordan, McGwin Gerald, Shah Aarvi, Shah Ashish
Аннотация
BACKGROUND: Total ankle arthroplasty and arthrodesis utilization has significantly increased in recent years with limited current studies examining physician reimbursement rates.
PURPOSE: This study provides an analysis of physician fee reimbursement from 2007 to 2025 and utilization trends from 2007 to 2022 for foot and ankle arthrodesis and arthroplasty procedures.
STUDY DESIGN: Retrospective analysis METHODS: Physician reimbursement data were extracted from the CMS Physician Fee Schedule Look-Up Tool using CPT codes between 2007 and 2025. National payment amounts were inflation-adjusted using the Consumer Price Index (January 2025 values) and reported in 2025 USD. For each CPT code, nominal and inflation-adjusted reimbursement trends were analyzed. Medicare Part B Summary Data File was used to collect utilization trends per CPT code from 2007 to 2022.
RESULTS: From 2007 to 2025, nominal reimbursement rates changed for most CPT codes: 27702 (-1.21 %), 27815 (- 0.38 %), 27870 (- 0.44 %), 28725 (- 1.52 %), and 29899 (-1.71 %). The procedures that showed nominal increases were 27871 (+3.41 %) and 28740 (+1.46 %). When adjusted for inflation, all procedures experienced declines: 27702 (-37.05 %), 27815 (-36.52 %), 27870 (-36.56 %), 27871 (-34.11 %), 28725 (-37.25 %), 28740 (-35.35 %), and 29899 (-37.37 %). The total percentage change from 2007 to 2022 showed increased utilization for CPT codes 27702 (+502.54 %), 27870 (+8.06 %), 28725 (+69.78 %), and 28740 (+156.98 %) and reductions for CPT codes 27871 (-32.88 %), 28715 (-9.52 %), and 29899 (-17.35 %).
CONCLUSION: Between 2007 and 2025, inflation-adjusted reimbursement reductions ranged from 34.11 % to 37.25 %, while utilization rates varied for foot and ankle arthroplasty and arthrodesis procedures.
PURPOSE: This study provides an analysis of physician fee reimbursement from 2007 to 2025 and utilization trends from 2007 to 2022 for foot and ankle arthrodesis and arthroplasty procedures.
STUDY DESIGN: Retrospective analysis METHODS: Physician reimbursement data were extracted from the CMS Physician Fee Schedule Look-Up Tool using CPT codes between 2007 and 2025. National payment amounts were inflation-adjusted using the Consumer Price Index (January 2025 values) and reported in 2025 USD. For each CPT code, nominal and inflation-adjusted reimbursement trends were analyzed. Medicare Part B Summary Data File was used to collect utilization trends per CPT code from 2007 to 2022.
RESULTS: From 2007 to 2025, nominal reimbursement rates changed for most CPT codes: 27702 (-1.21 %), 27815 (- 0.38 %), 27870 (- 0.44 %), 28725 (- 1.52 %), and 29899 (-1.71 %). The procedures that showed nominal increases were 27871 (+3.41 %) and 28740 (+1.46 %). When adjusted for inflation, all procedures experienced declines: 27702 (-37.05 %), 27815 (-36.52 %), 27870 (-36.56 %), 27871 (-34.11 %), 28725 (-37.25 %), 28740 (-35.35 %), and 29899 (-37.37 %). The total percentage change from 2007 to 2022 showed increased utilization for CPT codes 27702 (+502.54 %), 27870 (+8.06 %), 28725 (+69.78 %), and 28740 (+156.98 %) and reductions for CPT codes 27871 (-32.88 %), 28715 (-9.52 %), and 29899 (-17.35 %).
CONCLUSION: Between 2007 and 2025, inflation-adjusted reimbursement reductions ranged from 34.11 % to 37.25 %, while utilization rates varied for foot and ankle arthroplasty and arthrodesis procedures.