August 1998 Bulletin

Projected impact of the Medicare expense payment proposals on the most common orthopaedic services

Current ProposalCurrent Proposal Original Proposal
One year 1998-1999 Total (1998-2002) Total (1998-2002)
CPTDESCRIPTIONin officeout of office in officeout of officein office out of office
11044Debride tissue/muscle/bone-2% -5%-9%-18%-2%-21%
20550Inj tendon/ligament/cyst35% -2%137%-9%59%-3%
20600Drain/inject joint/bursa17% -2%67%-8%51%-14%
20605Drain/inject joint/bursa29% -2%114%-7%54%-13%
20610Drain/inject joint/bursa19% -0%74%-1%51%-12%
20680Removal of support implant-0% 11%-1%42%-4%-4%
20937Spinal bone autograftn/a-4% n/a-16%n/a-35%
22310Treat spine fracture3%1% 12%4%3%-4%
22554Neck spine fusionn/a-5% n/a-19%n/a-31%
22558Lumbar spine fusionn/a-3% n/a-13%n/a-26%
22585Additional spinal fusionn/a -5%n/a-21%n/a-36%
22612Lumbar spine fusionn/a-4% n/a-14%n/a-29%
22614Spine fusion, extra segmentn/a -4%n/a-16%n/a-33%
22842Insert spine fixation devicen/a 1%n/a2%n/a-20%
23120Partial removal, collar bonen/a 5%n/a21%n/a0%
23130Partial removal,shoulderbonen/a 1%n/a2%n/a-15%
23410Repair of tendon(s)n/a-1% n/a-4%n/a-21%
23412Repair of tendon(s)n/a-3% n/a-10%n/a-26%
23420Repair of shouldern/a-3% n/a-12%n/a-27%
23470Reconstruct shoulder jointn/a -3%n/a-12%n/a-28%
23472Reconstruct shoulder jointn/a -4%n/a-15%n/a-29%
23600Treat humerus fracture5%-2% 19%-7%0%-11%
23605Treat humerus fracture3%1% 13%2%-3%-10%
23615Repair humerus fracturen/a -3%n/a-11%n/a-25%
23616Repair humerus fracturen/a -4%n/a-18%n/a-33%
24516Repair humerus fracturen/a 0%n/a0%n/a-19%
24685Repair ulna fracturen/a-1% n/a-5%n/a-20%
25447Repair wrist joint(s)n/a-1% n/a-2%n/a-21%
25600Treat fracture radius/ulna9% -4%37%-17%-0%-15%
25605Treat fracture radius/ulna10% 2%40%10%5%-6%
25611Repair fracture radius/ulnan/a 3%n/a11%n/a-8%
25620Repair fracture radius/ulnan/a 1%n/a2%n/a-14%
26055Incise finger tendon sheath7% 21%28%83%4%-1%
26123Release palm contracturen/a 3%n/a12%n/a-17%
26531Revise knuckle with implantn/a 11%n/a43%n/a-4%
27091Removal of hip prosthesisn/a -2%n/a-10%n/a-27%
27125Partial hip replacementn/a -4%n/a-14%n/a-29%
27130Total hip replacementn/a-4% n/a-16%n/a-31%
27132Total hip replacementn/a-4% n/a-18%n/a-32%
27134Revise hip joint replacementn/a -5%n/a-19%n/a-33%
27137Revise hip joint replacementn/a -4%n/a-17%n/a-31%
27138Revise hip joint replacementn/a -4%n/a-17%n/a-32%
27176Treat slipped epiphysisn/a -1%n/a-6%n/a-23%
27193Treat pelvic ring fracture10% 7%39%27%12%4%
27235Repair of thigh fracturen/a -3%n/a-12%n/a-29%
27236Repair of thigh fracturen/a -4%n/a-14%n/a-32%
27244Repair of thigh fracturen/a -3%n/a-12%n/a-30%
27245Repair of thigh fracturen/a -1%n/a-4%n/a-25%
27252Treat hip dislocationn/a5% n/a20%n/a-1%
27266Treatment of hip dislocationn/a 4%n/a15%n/a-5%
27310Exploration of knee jointn/a -2%n/a-6%n/a-23%
27446Revision of knee jointn/a -4%n/a-18%n/a-29%
27447Total knee replacementn/a -5%n/a-18%n/a-32%
27486Revise knee joint replacen/a -4%n/a-17%n/a-31%
27487Revise knee joint replacen/a -5%n/a-19%n/a-32%
27488Removal of knee prosthesisn/a -3%n/a-12%n/a-29%
27506Repair of thigh fracturen/a -3%n/a-11%n/a-27%
27507Treatment of thigh fracturen/a -4%n/a-15%n/a-31%
27511Treatment of thigh fracturen/a -3%n/a-12%n/a-30%
27513Treatment of thigh fracturen/a -2%n/a-8%n/a-25%
27514Repair of thigh fracturen/a -2%n/a-8%n/a-25%
27520Treat kneecap fracture11% -2%42%-10%5%-11%
27524Repair of kneecap fracturen/a -3%n/a-13%n/a-28%
27530Treatment of knee fracture9% -0%38%-2%2%-11%
27535Treatment of knee fracturen/a -2%n/a-6%n/a-26%
27590Amputate leg at thighn/a-1% n/a-4%n/a-9%
27752Treatment of tibia fracture6% -0%25%-0%-5%-15%
27758Repair of tibia fracturen/a -3%n/a-12%n/a-26%
27759Repair of tibia fracturen/a -2%n/a-10%n/a-26%
27786Treatment of ankle fracture13% -1%53%-3%14%-3%
27792Repair of ankle fracturen/a -1%n/a-6%n/a-21%
27814Repair of ankle fracturen/a -1%n/a-6%n/a-22%
27822Repair of ankle fracturen/a 20%n/a80%n/a-17%
27870Fusion of ankle jointn/a-2% n/a-8%n/a-24%
27880Amputation of lower legn/a -0%n/a-1%n/a-9%
28285Repair of hammertoe-3%-1% -10%-5%37%6%
28292Correction of bunion-5%-4% -18%-15%8%-11%
28296Correction of bunion-5%-4% -19%-16%0%-15%
28470Treat metatarsal fracture16% 1%65%2%32%8%
29075Application of forearm cast46% -3%181%-12%67%-17%
29405Apply short leg cast36%-5% 142%-18%53%-24%
29425Apply short leg cast26%-5% 101%-21%37%-27%
29823Shoulder arthroscopy/surgeryn/a -2%n/a-7%n/a-20%
29826Shoulder arthroscopy/surgeryn/a -2%n/a-8%n/a-22%
29848Wrist arthroscopy/surgeryn/a 6%n/a25%n/a3%
29876Knee arthroscopy/surgeryn/a -2%n/a-8%n/a-22%
29877Knee arthroscopy/surgeryn/a -2%n/a-9%n/a-23%
29879Knee arthroscopy/surgeryn/a -3%n/a-10%n/a-23%
29880Knee arthroscopy/surgeryn/a -3%n/a-11%n/a-24%
29881Knee arthroscopy/surgeryn/a -2%n/a-10%n/a-24%
62289Injection into spinal canal11% 1%46%3%38%-17%
63005Removal of spinal laminan/a -5%n/a-19%n/a-30%
63017Removal of spinal laminan/a -5%n/a-19%n/a-29%
63030Low back disk surgeryn/a-4% n/a-18%n/a-27%
63042Low back disk surgeryn/a-5% n/a-19%n/a-30%
63047Removal of spinal laminan/a -4%n/a-18%n/a-27%
63048Removal of spinal laminan/a -5%n/a-19%n/a-36%
63075Neck spine disk surgeryn/a -3%n/a-14%n/a-26%
63081Removal of vertebral bodyn/a -5%n/a-21%n/a-33%
64718Revise ulnar nerve at elbown/a -4%n/a-14%n/a-20%
64721Carpal tunnel surgery-0%6% -2%22%0%-8%
99203Office/outpatient visit, new12% 3%46%10%35%8%
99204Office/outpatient visit, new10% 2%38%7%20%1%
99212Office/outpatient visit, est4% -0%16%-1%37%1%
99213Office/outpatient visit, est2% -1%10%-4%24%-4%
99214Office/outpatient visit, est4% -0%15%2%16%-5%
99243Office consultation4%-1% 15%-5%20%-4%
99244Office consultation3%-1% 14%-2%13%-5%

CPT codes and descriptors only are copyright AMA

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