Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
背景：尽管髋关节镜检查仍然是最常用的关节镜手术之一，没有专注，对报销趋势进行了综合评估。这项研究的目的是分析髋关节镜检查程序的时间医疗保险报销趋势。
方法：从2011年到2021年，查询了Medicare医师费用表查找工具中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美元。计算了复合年增长率和总百分比变化。Mann-Kendall趋势测试用于评估报销趋势。
结果：根据未调整的值，从2011年到2021年，CPT代码29861（去除松散或异物；%变化：3.49，P=0.03）和29862（软骨成形术，磨损关节成形术,唇切除；%变化：3.19，P=0.03）。根据未调整的价值，其余的CPT代码在报销方面没有明显变化。在调整通货膨胀后，观察到所有7项髋关节镜检查CPT代码在Medicare报销方面均出现显著下降.髋臼成形术（CPT：29915）和唇修复（CPT：29916）的髋关节镜检查显示出最大的报销减少，降低了24.69％（P<0.001）和24.64％（P<0.001），分别,在研究期间。
结论：所有七项常用髋关节镜检查服务的医疗保险报销都没有跟上通货膨胀的步伐，表明从2011年到2021年显著减少。具体来说,2011年至2021年，经通胀调整后的报销额下降了19.23%至24.69%。
方法：从2011年到2021年，查询了Medicare医师费用表查找工具中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美元。计算了复合年增长率和总百分比变化。Mann-Kendall趋势测试用于评估报销趋势。
结果：根据未调整的值，从2011年到2021年，CPT代码29861（去除松散或异物；%变化：3.49，P=0.03）和29862（软骨成形术，磨损关节成形术,唇切除；%变化：3.19，P=0.03）。根据未调整的价值，其余的CPT代码在报销方面没有明显变化。在调整通货膨胀后，观察到所有7项髋关节镜检查CPT代码在Medicare报销方面均出现显著下降.髋臼成形术（CPT：29915）和唇修复（CPT：29916）的髋关节镜检查显示出最大的报销减少，降低了24.69％（P<0.001）和24.64％（P<0.001），分别,在研究期间。
结论：所有七项常用髋关节镜检查服务的医疗保险报销都没有跟上通货膨胀的步伐，表明从2011年到2021年显著减少。具体来说,2011年至2021年，经通胀调整后的报销额下降了19.23%至24.69%。
