Want to see it live?
Start a free trial today and get access to the Definitive Healthcare platform.
Accelerate Your Growth
Power your team with the highest quality, daily updated intelligence on hospitals, physicians, and other healthcare providers
The following list highlights the top 20 surgical procedures performed at long term care (LTC) facilities in 2019, as classified by HCPCS/CPT code. LTC facilities — including skilled nursing facilities, home health agencies, and assisted living facilities — serve elderly patients by providing care in the absence of other reliable caretaker options.
The top three procedures performed are related to debridement— a surgical procedure used to remove damage or foreign objects from an area. The most common procedure is debridement of wounds down to and including the subcutaneous tissue "CPT code 11042". Procedures related to debridement make up over 70 percent of the procedures represented on this list and have an average charge per procedure of $318.
The most expensive procedure, EGD Biopsy Single/Multiple "CPT code 43239", has an average charge of $1,333 per procedure while the least expensive procedure, Routine Venipuncture "CPT code 3641", has an average charge of $18 per procedure.
Top 20 Surgical Procedures at LTC Facilities
|
Rank |
HCPCS/CPT Code |
HCPCS Description |
Number of Total Procedures |
Total Charges |
Avg Charge/Procedure |
|
1 |
11042 |
Deb subq tissue 20 sq cm/< |
368,409 |
$113,047,748 |
$307 |
|
2 |
11043 |
Deb musc/fascia 20 sq cm/< |
244,315 |
$135,648,784 |
$555 |
|
3 |
11721 |
Debride nail 6 or more |
179,642 |
$12,222,340 |
$68 |
|
4 |
17250 |
Chem caut of granltj tissue |
139,181 |
$33,240,170 |
$239 |
|
5 |
36415 |
ROUTINE VENIPUNCTURE |
123,507 |
$2,254,920 |
$18 |
|
6 |
11720 |
Debride nail 1-5 |
71,689 |
$3,202,007 |
$45 |
|
7 |
11046 |
Deb musc/fascia add-on |
29,519 |
$10,251,601 |
$347 |
|
8 |
11045 |
Deb subq tissue add-on |
28,123 |
$5,320,152 |
$189 |
|
9 |
11056 |
Trim skin lesions 2 to 4 |
27,482 |
$2,336,493 |
$85 |
|
10 |
11055 |
Trim skin lesion |
23,119 |
$1,580,177 |
$68 |
|
11 |
11719 |
Trim nail(s) any number |
21,492 |
$683,120 |
$32 |
|
12 |
69210 |
REMOVE IMPACTED EAR WAX UNI |
18,248 |
$1,262,445 |
$69 |
|
13 |
11044 |
Deb bone 20 sq cm/< |
8,697 |
$6,217,569 |
$715 |
|
14 |
20610 |
Drain/inj joint/bursa w/o us |
5,699 |
$1,227,070 |
$215 |
|
15 |
36416 |
CAPILLARY BLOOD DRAW |
4,726 |
$94,422 |
$20 |
|
16 |
11730 |
Removal of nail plate |
4,222 |
$670,251 |
$159 |
|
17 |
43239 |
EGD BIOPSY SINGLE/MULTIPLE |
3,829 |
$4,339,852 |
$1,133 |
|
18 |
10060 |
Drainage of skin abscess |
3,497 |
$1,110,566 |
$318 |
|
19 |
12001 |
Rpr s/n/ax/gen/trnk 2.5cm/< |
3,299 |
$1,360,002 |
$412 |
|
20 |
51798 |
US URINE CAPACITY MEASURE |
3,174 |
$169,342 |
$53 |
Fig 1 Data from Definitive Healthcare based on All-Payor Commercial Claims analytics from CY 2019.