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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.
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|Rank||HCPCS/CPT Code||HCPCS Description||Number of Total Procedures||Total Charges||Avg Charge/Procedure||Explore This Dataset|
|1||11042||Deb subq tissue 20 sq cm/<||368,409||$113,047,748||$307||Explore This Profile|
|2||11043||Deb musc/fascia 20 sq cm/<||244,315||$135,648,784||$555||Explore This Profile|
|3||11721||Debride nail 6 or more||179,642||$12,222,340||$68||Explore This Profile|
|4||17250||Chem caut of granltj tissue||139,181||$33,240,170||$239||Explore This Profile|
|5||36415||ROUTINE VENIPUNCTURE||123,507||$2,254,920||$18||Explore This Profile|
|6||11720||Debride nail 1-5||71,689||$3,202,007||$45||Explore This Profile|
|7||11046||Deb musc/fascia add-on||29,519||$10,251,601||$347||Explore This Profile|
|8||11045||Deb subq tissue add-on||28,123||$5,320,152||$189||Explore This Profile|
|9||11056||Trim skin lesions 2 to 4||27,482||$2,336,493||$85||Explore This Profile|
|10||11055||Trim skin lesion||23,119||$1,580,177||$68||Explore This Profile|
|11||11719||Trim nail(s) any number||21,492||$683,120||$32||Explore This Profile|
|12||69210||REMOVE IMPACTED EAR WAX UNI||18,248||$1,262,445||$69||Explore This Profile|
|13||11044||Deb bone 20 sq cm/<||8,697||$6,217,569||$715||Explore This Profile|
|14||20610||Drain/inj joint/bursa w/o us||5,699||$1,227,070||$215||Explore This Profile|
|15||36416||CAPILLARY BLOOD DRAW||4,726||$94,422||$20||Explore This Profile|
|16||11730||Removal of nail plate||4,222||$670,251||$159||Explore This Profile|
|17||43239||EGD BIOPSY SINGLE/MULTIPLE||3,829||$4,339,852||$1,133||Explore This Profile|
|18||10060||Drainage of skin abscess||3,497||$1,110,566||$318||Explore This Profile|
|19||12001||Rpr s/n/ax/gen/trnk 2.5cm/<||3,299||$1,360,002||$412||Explore This Profile|
|20||51798||US URINE CAPACITY MEASURE||3,174||$169,342||$53||Explore This Profile|
Fig 1 Data from Definitive Healthcare based on All-Payor Commercial Claims analytics from CY 2019.