Inflation-Adjusted Changes in Medicare Reimbursements for Commonly Performed Oculoplastics Procedures Over the Last Decade

作者：Jonathan Siktberg, Howard Zhang, Sean T. Berkowitz, Xiangyu Ji, Qingxia Chen, Rachel K. Sobel · 发表于：Ophthalmic Plastic and Reconstructive Surgery · 年份：2025 · DOI：10.1097/iop.0000000000002945 · 被引用次数：3 · 研究领域：Medical Device Sterilization and Disinfection、Economic and Financial Impacts of Cancer、Medical Malpractice and Liability Issues

PURPOSE: This study examines the inflation-adjusted changes in Medicare reimbursements for the most commonly performed oculoplastic procedures performed in the clinic and in the operating room from 2014 to 2023. METHODS: The 2021 Medicare National Summary Data File was used to identify the 15 most often performed oculoplastics office procedures and operating room procedures in Medicare Part B beneficiaries by Current Procedural Terminology (CPT) code. The yearly reimbursements for each of these 30 CPT codes over the last decade were found using the Medicare Physician Fee Schedule Online Tool available on CMS.gov. Adjustments for inflation were made using the Consumer Price Index from the United States Bureau of Labor Statistics. Descriptive statistics were computed to show the change in reimbursement amount over time. Spearman rank correlation coefficients between the inflation-adjusted reimbursement amount and year were used to evaluate the trend over time for each procedure. RESULTS: The average nominal change in payment amount was -3.5% (range: -63.6% to 12.5%) for office CPT codes and -7.7% (range: -35.3% to 6.5%) for facility CPT codes. The average inflation-adjusted change in payment amount was -24.6% (range: -71.5% to -12.1%) for office codes and -27.8% (range: -49.4% to -16.8%) for facility codes. There was a statistically significant negative correlation between inflation-adjusted reimbursement level and year of assessment for 29 of 30 CPT codes tested. CONCLUSIONS: ...