背景:预期食品和药物管理局(FDA)批准全后脊柱(TOPS)系统,国际脊柱外科促进会(ISASS)进行了一项研究,以估计关节突关节成形术的相对工作价值单位(RVU).这项研究的目的是在相对价值量表更新委员会(RUC)可以确定适当的值之前,为当前程序术语(CPT)代码0202T建立工作RVU的评估。根据这项调查建立的评估将有助于外科医生从第三方付款人那里建立适当的程序报销。
方法:创建了一项调查,并发送给52名外科医生,他们在研究器械豁免临床试验期间有植入TOPS系统的经验。调查包括一个病人小插图,CPT代码0202T的描述以及TOPS系统的视频,以及关于插图有效性的确认问题。要求受访者将CPT代码0202T中涉及的工作与8个腰椎手术进行比较。使用可比较程序的工作RVU进行Rasch分析以估计CPT0202T的相对难度。
结果:41名外科医生对调查做出了回应。在所有的程序中,与后路截骨术相比,CPTCode0202T对等功的反应最多(46%),其次是经椎间孔腰椎椎间融合术(41%)。回归分析的结果表明CPT0202T的工作RVU为39.47。
结论:研究发现,使用Rasch分析,CPT代码0202T的估计工作RVU为39.47。作为这种Rasch方法的替代方法,人们可以考虑在程序上对经椎间孔腰椎椎间融合术的工作RVU进行人行横道方法,不作为替代代码。
结论:这些建议不能替代RUC方法,但可作为医生和第三方付款人的参考,以暂时了解收费和支付目的的工作RVU相似性,直到RUC方法为程序提供准确的RVU。
方法:
BACKGROUND: In anticipation of Food and Drug Administration (FDA) approval of the Total Posterior Spine (TOPS) system, the International Society for the Advancement of Spine Surgery (ISASS) conducted a study to estimate the work relative value units (RVUs) for facet arthroplasty. The purpose of this study was to establish a valuation of work RVU for Current Procedural Terminology (
CPT) Code 0202T in the interim until the Relative Value Scale Update Committee (RUC) can determine an appropriate value. The valuation established from this survey will assist surgeons to establish appropriate procedure reimbursement from third-party payers.
METHODS: A survey was created and sent to 52 surgeons who had experience implanting the TOPS system during the investigational device exemption clinical trial. The survey included a patient vignette, a description of
CPT Code 0202T along with a video of the TOPS system, and a confirmation question about the illustration\'s effectiveness. Respondents were asked to compare the work involved in
CPT Code 0202T to 8 lumbar spine procedures. A Rasch analysis was performed to estimate the relative difficulty of
CPT 0202T using the work RVUs of the comparable procedures.
RESULTS: Forty-one surgeons responded to the survey. Of all the procedures, CPT Code 0202T received the most responses for equal work compared with posterior osteotomy (46%) followed by transforaminal lumbar interbody fusion (41%). The results of the regression analysis indicate a work RVU for
CPT 0202T of 39.47.
CONCLUSIONS: The study found an estimated work RVU of 39.47 for CPT Code 0202T using Rasch analysis. As an alternative to this Rasch methodology, one may consider a crosswalk methodology to the work RVUs for transforaminal lumbar interbody fusion procedurally, not as an alternative code.
CONCLUSIONS: These recommendations are not a substitute for RUC methodology but serve as a reference for physicians and third-party payers to understand work RVU similarities for charge and payment purposes temporarily until RUC methodology provides accurate RVUs for the procedure.
METHODS: