Emphasis in the healthcare industry has shifted from inpatient to outpatient procedures, driven in part by the rise of ambulatory surgery centers (ASCs). Though ASCs and other outpatient centers have their advantages, such as shorter wait times and the potential for lower costs, they don’t always have the capabilities of a hospital with an inpatient facility. One advantage of inpatient facilities is the wealth of resources available. If there are complications during a procedure, a hospital is more likely to have the staff and technology on hand to treat the patient without transporting them to another facility.
Of the top 20 inpatient procedures, 60 percent experienced a decline in procedure volume from 2014-2015. The procedure that experienced the greatest decline is “procedure on a single vessel,” (ICD-9 code 0040), while the procedure that experienced the greatest growth in performance volume is “venous catheterization for renal dialysis,” (ICD-9 code 3895). Increase in the procedure volume of renal dialysis catheterization aligns with the overall growth in demand for dialysis treatments in the U.S., as the number of Americans diagnosed with end-stage renal disease increases by approximately 5 percent every year.
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|ICD-9 Code||Description||Procedures||Trend||Explore These Claims|
|1.||9904||Transfusion of packed cells||881,602||-14.7%||Explore This Code|
|2.||3995||Hemodialysis||569,938||-2.8%||Explore This Code|
|3.||3893||Venous catheterization||514,562||+5.2%||Explore This Code|
|4.||8856||Coronary arteriography using two catheters||404,671||+7.8%||Explore This Code|
|5.||9604||Insertion of endotracheal tube||361,290||-1.0%||Explore This Code|
|6.||8872||Diagnostic ultrasound of heart||357,268||-5.5%||Explore This Code|
|7.||3897||Central venous catheter placement with guidance||352,518||-16.9%||Explore This Code|
|8.||3722||Left heart cardiac catheterization||342,173||-0.9%||Explore This Code|
|9.||9390||Non-invasive mechanical ventilation||318,981||+4.5%||Explore This Code|
|10.||8154||Total knee replacement||318,122||+4.8%||Explore This Code|
|11.||9671||Continuous invasive mechanical ventilation for less than 96 consecutive hours||300,975||-.01%||Explore This Code|
|12.||8853||Angiocardiography of left heart structures||267,998||-4.9%||Explore This Code|
|13.||4516||Esophagogastroduodenoscopy EGD with closed biopsy||262,606||+3.1%||Explore This Code|
|14.||4513||Other endoscopy of small intestine||203,993||-3.7%||Explore This Code|
|15.||0066||Percutaneous transluminal coronary angioplasty or coronary atherectomy||192,481||+2.0%||Explore This Code|
|16.||0040||Procedure on single vessel||192,011||-22.9%||Explore This Code|
|17.||9672||Continuous invasive mechanical ventilation for 96 consecutive hours or more||179,961||-1.5%||Explore This Code|
|18.||3895||Venous catheterization for renal dialysis||166,695||+19.6%||Explore This Code|
|19.||8151||Total hip replacement||164,579||+8.4%||Explore This Code|
|20.||3591||Thoracentesis||161,129||-4.9%||Explore This Code|