{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:28:21Z","timestamp":1790022501850,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study is to characterize Medicare reimbursement trends for laryngology procedures over the last two decades.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This analysis used CMS' Physician Fee Schedule (PFS) Look\u2010Up Tool to determine the reimbursement rate of 48 common laryngology procedures, which were divided into four groups based on their practice setting and clinical use: office\u2010based, airway, voice disorders, and dysphagia. The PFS reports the physician service reimbursement for \u201cfacilities\u201d and global reimbursement for \u201cnon\u2010facilities\u201d. The annual reimbursement rate for each procedure was averaged across all localities and adjusted for inflation. The compound annual growth rate (CAGR) of each procedure's reimbursement was determined, and a weighted average of the CAGR for each group of procedures was calculated using each procedure's 2020 Medicare Part B utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Reimbursement for laryngology procedure (CPT) codes has declined over the last two decades. In facilities, the weighted average CAGR for office\u2010based procedures was \u22122.0%, for airway procedures was \u22122.2%, for voice disorders procedures was \u22121.4%, and for dysphagia procedures was \u22121.7%. In non\u2010facilities, the weighted average CAGR for office\u2010based procedures was \u22120.9%. The procedures in the other procedure groups did not have a corresponding non\u2010facility reimbursement rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Like other otolaryngology subspecialties, inflation\u2010adjusted reimbursements for common laryngology procedures have decreased substantially over the past two decades. Because of the large number of physician participants and patient enrollees in the Medicare programs, increased awareness and further research into the implications of these trends on patient care is necessary to ensure quality in the delivery of laryngology care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 134:247\u2013256, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30874","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T13:43:56Z","timestamp":1689169436000},"page":"247-256","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A Medicare Physician Fee Schedule Analysis of Reimbursement Trends in Laryngology from 2000 to 2021"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7420-2842","authenticated-orcid":false,"given":"James R.","family":"Xu","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert R.","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Head and Neck Institute Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen M.","family":"Mulligan","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd D.","family":"Otteson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole C.","family":"Maronian","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Peter","family":"Manes","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Z.","family":"Lerner","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Bryson","sequence":"additional","affiliation":[{"name":"Head and Neck Institute Cleveland Clinic  Cleveland Ohio USA"},{"name":"Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000003289"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2018.8.Jns181949"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000007878"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20180226-04"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2021.3453"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/dad.0000000000002331"},{"key":"e_1_2_6_8_1","unstructured":"Centers for Medicare & Medicaid Services.Physician Fee Schedule Look\u2010Up Tool.https:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/PFSlookupAccessed September 24 2022."},{"key":"e_1_2_6_9_1","unstructured":"U.S. Bureau of Labor Statistics.CPI Inflation Calculator.https:\/\/www.bls.gov\/data\/inflation_calculator.htmAccessed September 24 2022."},{"key":"e_1_2_6_10_1","unstructured":"Centers for Medicare & Medicaid Services.Medicare Physician & Other Practitioners \u2013 by Geography and Service.https:\/\/data.cms.gov\/provider\u2010summary\u2010by\u2010type\u2010of\u2010service\/medicare\u2010physician\u2010other\u2010practitioners\/medicare\u2010physician\u2010other\u2010practitioners\u2010by\u2010geography\u2010and\u2010serviceAccessed September 24 2022."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28749"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003010"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22912"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27064"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221091697"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23476"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1086\/689772"},{"key":"e_1_2_6_18_1","doi-asserted-by":"crossref","unstructured":"AlexanderD SchnellM.The impacts of physician payments on patient access use and health. National Bureau of Economic Research Working Paper Series.2019https:\/\/doi.org\/10.3386\/w26095.","DOI":"10.3386\/w26095"},{"key":"e_1_2_6_19_1","unstructured":"Congressional Research Service.The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; PL 114\u201010) (R43962).2015Accessed February 25 2023.https:\/\/crsreports.congress.gov\/product\/pdf\/R\/R43962."},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815587509"},{"key":"e_1_2_6_21_1","volume-title":"The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management","author":"Brown SM","year":"2022"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002010"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T13:00:32Z","timestamp":1719925232000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,12]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/lary.30874"],"URL":"https:\/\/doi.org\/10.1002\/lary.30874","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,12]]},"assertion":[{"value":"2023-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}