February 2002 Bulletin

Table 1: 1992-2002 Medicare Fee Schedule Facility Payment Comparison
of Top 20 Orthopaedic Facility Procedures

(*Ranking is based on Orthopaedic total Medicare allowed charges for each code, not on individual claim payment)

Surgical conversion factor

$31.00

$40.96

$36.69

$34.73

$36.61

$38.26

$36.20

17%

-12%

Non-surgical conversion factor

$31.00

$33.85

$36.69

$34.73

$36.61

$38.26

$36.20

17%

7%

Fac Rank*

CPT

Descriptor

Glob

1992

1997

1998

1999

2000

2001

2002

92-02
% chg

97-02
% chg

7

22612

Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral transverse technique)

90

$1,255

$1,807

$1,648

$1,533

$1,549

$1,582

$1,449

15%

-20%

16

23412

Repair of ruptured musculo- tendinous cuff (eg, rotator cuff); chronic

90

$922

$1,156

$1,058

$997

$1,023

$1,071

$1,022

11%

-12%

6

23420

Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)

90

$968

$1,213

$1,111

$1,044

$1,061

$1,108

$1,053

9%

-13%

19

25605

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphy-seal separation, with or without fracture of ulnar styloid; with manipulation

90

$326

$406

$380

$375

$414

$465

$461

41%

13%

20

25611

Percutaneous skeletal fixation of distal radial fracture (eg, Colles or Smith type) or epiphy-seal separation, with or without fracture of ulnar styloid, requiring manipulation, with or without external fixation

90

$460

$577

$541

$536

$588

$667

$684

49%

18%

14

27125

Hemiarthroplastyhip, partial (eg, femoral stem prosthesis, bi-polar arthro-plasty)

90

$1,141

$1,357

$1,242

$1,155

$1,141

$1,185

$1,113

-2%

-18%

3

27130

Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

90

$1,697

$1,932

$1,718

$1,583

$1,542

$1,574

$1,452

-14%

-25%

10

27134

Revision of total hip arthroplasty; both compo-nents, with or without autograft or allograft

90

$2,215

$2,637

$2,416

$2,212

$2,143

$2,165

$1,966

-11%

-25%

13

27235

Percutaneous skeletal fixation of femoral frac-ture, proximal end, neck, undis-placed, mildly displaced, or impacted fracture

90

$977

$1,135

$1,032

$966

$938

$973

$909

-7%

-20%

4

27236

Open treatment of femoral frac-ture, proximal end, neck, inter-nal fixation or prosthetic replacement

90

$1,103

$1,383

$1,292

$1,205

$1,182

$1,209

$1,114

1%

-19%

2

27244

Open treatment of intertro-chanteric, pertrochanteric, or subtrochan-teric femoral fracture; with plate/screw type implant, with or without cerclage

90

$1,090

$1,363

$1,279

$1,198

$1,187

$1,224

$1,137

4%

-17%

18

27245

Open treatment of intertrochan-teric, pertrochan-teric, or subtro-chanteric femoral fracture; with intramedullary implant, with or without inter-locking screws and/or cerclage

90

n/a

$1,542

$1,439

$1,371

$1,407

$1,486

$1,403

n/a

-9%

1

27447

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resur-facing (total knee arthroplasty)

90

$1,816

$2,041

$1,837

$1,684

$1,631

$1,655

$1,514

-17%

-26%

12

27487

Revision of total knee arthro-plasty, with or without allograft; femoral and entire tibial component

90

$2,123

$2,365

$2,165

$1,977

$1,904

$1,926

$1,740

-18%

-26%

17

29826

Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release

90

$600

$907

$777

$732

$734

$779

$757

26%

-17%

15

29877

Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)

90

$703

$733

$633

$594

$588

$627

$603

-14%

-18%

8

29880

Arthroscopy, knee, surgical; with meniscec-tomy (medial AND lateral, including any meniscal shaving)

90

$761

$846

$736

$686

$672

$708

$675

-11%

-20%

5

29881

Arthroscopy, knee, surgical; with meniscec-tomy (medial OR lateral, including any meniscal shaving)

90

$787

$771

$665

$623

$618

$656

$629

-20%

-18%

9

63047

Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; lumbar

90

$1,408

$1,408

$1,290

$1,177

$1,136

$1,143

$1,037

-26%

-26%

11

64721

Neuroplasty and/or trans- position; median nerve at carpal tunnel

90

$317

$398

$361

$349

$361

$397

$399

26%

0%


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