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Trends of utilization and physician payments for vertebroplasty and kyphoplasty procedures by physician specialty and practice setting: 2010-2018

The Spine Journal May 18, 2020

Lindquester WS, et al. - This research was undertaken to examine and provide an update on utilization of vertebroplasty and kyphoplasty methods among Medicare beneficiaries by physician specialty and practice setting following publication of recommendations against vertebroplasty in 2010. This study was carried out to utilize Medicare Part B Physician/Supplier Procedure Summary Master File for the years 2010 to 2018 to ascertain trends in volume and reimbursement by physician specialty and practice setting. Between 2010 and 2018, this research examined trends in volume and physician payment of vertebroplasty and kyphoplasty techniques by physician specialty. Mixed evidence was indicated by previous studies for benefits of vertebroplasty procedures and reducing volumes over time. Among Medicare beneficiaries, data exhibit continued downtrend in vertebroplasty and increased utilization of kyphoplasty. It was shown that the growing number of kyphoplasties associated with a sharp rise in volume and elevated reimbursement for office-based methods. Radiologists have been conducting an elevating share of both techniques.

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