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Hernia ·

Impact of 2023 CPT Changes on Hernia Repair Reimbursement

The 2023 CPT changes on hernia repair coding significantly boost reimbursement for academic surgeons dealing with larger hernias.

  • Academic centers saw a quarterly increase of 1.98 work relative value units (WRVUs) after the revisions, while nonacademic centers remained stable.
  • For large repairs (>10 cm), WRVUs increased by 1.80. Smaller hernias (<3 cm) showed no change.

Surgeons should prepare for differentiated reimbursement impacts based on the complexity of repairs and practice settings.

  • Monitoring coding changes will be critical to understanding their effects on practice patterns and outcomes.

Journal Article by Sridalla K, Ly N (…) Rosen MJ et 3 al. in Ann Surg

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