{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:15:24Z","timestamp":1789100124437,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Concern exists that Medicare physician fees for procedures have decreased over the past 20 years. The Centers for Medicare &amp; Medicaid Services (CMS) is set to re-evaluate these physician fees in the near future for concern that these procedures are overvalued. Our study sought to analyze trends in Medicare reimbursement rates from 2000 to 2019 for the top 20 most billed hand and upper extremity surgical procedures at our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The financial database of a single academic tertiary care center was queried to identify the Current Procedural Terminology codes most frequently utilized in orthopedic hand and upper extremity procedures in 2019. The Physician Fee Schedule Look-Up Tool from the CMS was queried for annual physician fee data. Monetary data were adjusted for inflation using the consumer price index of Urban Research Series (CPI-U-RS) and expressed in 2019 constant US dollars (USD). The average annual and total percent change in reimbursement were calculated via linear regression for all procedures ( P &lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Accounting for inflation, the total average physician reimbursement decreased by 20.9% from 2000 to 2019, with 12 of 20 codes decreasing by more than 20%. The greatest decrease pertained to arthrodesis of the wrist at 33.9%. Upon linear regression, all procedures were found to decrease annually, with arthrodesis of the wrist decreasing by an average of 2.3% annually over this period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Over the past 2 decades, physician reimbursement for hand and upper extremity procedures has significantly decreased.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447221096708","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T05:16:59Z","timestamp":1654579019000},"page":"175-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Medicare Reimbursement in Hand and Upper Extremity Procedures: A 20-Year Analysis"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0734-1484","authenticated-orcid":false,"given":"Samantha N.","family":"Weiss","sequence":"first","affiliation":[{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5074-4927","authenticated-orcid":false,"given":"Grace V.","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-4260","authenticated-orcid":false,"given":"Pietro","family":"Gentile","sequence":"additional","affiliation":[{"name":"Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Gaughan","sequence":"additional","affiliation":[{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Miskiel","sequence":"additional","affiliation":[{"name":"Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Pagliaro","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Hamilton Township, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rey","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Cooper University Hospital, Camden, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"issue":"1","key":"bibr1-15589447221096708","first-page":"8","volume":"7","author":"Beck DE","year":"2007","journal-title":"Ochsner J"},{"key":"bibr2-15589447221096708","first-page":"6","volume-title":"Mastering the Reimbursement Process","volume":"2001","author":"Blount LL"},{"key":"bibr3-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410160021004"},{"key":"bibr4-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410160094011"},{"key":"bibr5-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410160035005"},{"key":"bibr6-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1987.03400060075033"},{"key":"bibr7-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2015.09.006"},{"key":"bibr8-15589447221096708","unstructured":"105th Congress Public Law 105-33. Balanced Budget Act of 1997: section 4000-4923. US Government Publishing Office. https:\/\/www.govinfo.gov\/app\/details\/PLAW-105publ33. Published 1997. Accessed April 8, 2021."},{"key":"bibr9-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.04.001"},{"key":"bibr10-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2013.10.005"},{"key":"bibr11-15589447221096708","unstructured":"Medicare Access and CHIP Reauthorization Act of 2015. Congressional Hearing, 2016-03-17; 2016."},{"issue":"2","key":"bibr12-15589447221096708","first-page":"649","volume":"132","author":"Haglin JM","year":"2019","journal-title":"J Neuro Surg"},{"key":"bibr13-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003289"},{"key":"bibr14-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.12.003"},{"key":"bibr15-15589447221096708","unstructured":"Revisions to payment policies under the medicare physician fee schedule, quality payment program and other revisions to part B for CY 2021. CMS. https:\/\/www.cms.gov\/medicaremedicare-fee-service-paymentphysicianfeeschedpfs-federal-regulation-notices\/cms-1734-f. Published December 28, 2020. Accessed April 27, 2021."},{"key":"bibr16-15589447221096708","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20180226-04"},{"key":"bibr17-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001947"},{"key":"bibr18-15589447221096708","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20200213-05"},{"key":"bibr19-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.08.010"},{"key":"bibr20-15589447221096708","doi-asserted-by":"publisher","DOI":"10.1177\/1558944721990807"},{"key":"bibr21-15589447221096708","unstructured":"Centers for Medicare Medicaid Services. Physician fee schedule look-up tool. https:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/PFSlookup. 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