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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.