학술논문
Surgical Complexity and Physician Workload in Craniofacial Surgery: Do RVUs Need to be Adjusted?
Document Type
Academic Journal
Author
Kalmar CL; Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.; Patel VA; Department of Head & Neck Surgery, UCLA Health, Los Angeles, CA.; Golinko MS; Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.
Source
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg
Subject
Language
English
Abstract
RVU valuations need to be revisited regularly as procedure complexity and patient care pathways continue to evolve. The NSQIP-P database was queried for craniofacial procedures performed in North America between 2012 and 2019. Multivariate regression was performed to determine correlation coefficients of perioperative variables deemed to reflect procedure severity, including procedure duration, blood transfusion, length of stay, serious adverse events, related readmission, and related reoperation. CPT 21159 Le Fort III with forehead advancement remains the craniofacial procedure with the highest RVUs using our model at 33.93 units. The most underestimated procedure is CPT 42235 Repair of anterior palate, including vomer flap, with a suggested change of +8.27 units, which is a 194% increase from current compensation. Adjusted RVUs based on quantitative and nationally representative perioperative variables that reflect procedure severity might be a better alternative for procedure valuation over current survey methods to determine appropriate insurance compensation.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2024 by Mutaz B. Habal, MD.)
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2024 by Mutaz B. Habal, MD.)