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http://dx.doi.org/10.1016/j.jvs.2017.04.012 | DOI Listing |
J Cardiovasc Electrophysiol
September 2025
University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Background: In 2022, the Centers for Medicare & Medicaid Services (CMS) implemented a bundled payment policy that substantially reduced reimbursement for atrial fibrillation (AF) ablation procedures, raising concerns about potential effects on utilization and procedural complexity.
Objective: To evaluate national trends in AF ablation volumes, reimbursement, and procedural complexity following the 2022 CMS reimbursement change.
Methods: Using the Medicare Physician and Other Practitioners by Geography and Service Dataset from 2016 to 2023, we identified pulmonary vein isolation (PVI) procedures using CPT 93656 and additional ablations beyond PVI using CPT 93657.
J Plast Reconstr Aesthet Surg
July 2025
Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA. Electronic address:
Background: Manual CPT coding from operative notes is a time-intensive process that adds to the administrative burden in healthcare. Large Language Models (LLMs) offer a promising solution, but their accuracy in assigning CPT codes based on full operative note templates remains largely untested. Thus, this study evaluates the ability of three LLMs - GPT-4, Gemini, and Copilot - to generate accurate CPT codes from operative note templates across diverse plastic surgery procedures.
View Article and Find Full Text PDFArch Pathol Lab Med
September 2025
From the Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia (Behrman, Achram, Magliocca, Steward-Tharp, Harik).
Context.—: Complex surgical specimens are associated with complex Current Procedural Terminology (CPT) coding.
Objective.
Cleft Palate Craniofac J
December 2024
Division of Plastic Surgery, University of Mississippi Medical Center, Jackson, MS, USA.
ObjectiveIdentify unbundling trends in primary palatoplasty.DesignRetrospective study utilizing the American College of Surgeon Pediatric National Surgical Quality Improvement Program (PNSQIP).SettingRecords available from 2016 to 2021.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
January 2025
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Orange, California, USA.
In 2018, Medicare introduced new codes to the Endoscopic Sinus Surgery (FESS) and balloon sinus dilation (BSD) families of Current Procedural Terminology (CPT) codes. Using the Medicare Part B National Summary Data File from 2010 to 2022, an interrupted time-series analysis examined trends in volume and reimbursements before and after 2018. Prior to 2018, volume and reimbursements for FESS grew at a mean rate of 2.
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