According to Definitive Healthcare data, more than 58 million inpatient and 184 million outpatient surgical procedures were performed in 2016 (according to most recent CMS data).
The most popular outpatient procedure by far is a routine venipuncture (CPT code 36415). Routine venipunctures were performed nearly 113 million times in 2016, over 47 times more often than the next most common procedure, esophageal biopsy (CPT code 43239). The most commonly reported inpatient procedure is the insertion of an infusion device into the superior vena cava (ICD-10 code 02HV33Z). This procedure was performed more than twice as often as the second most commonly performed inpatient procedure, insertion of endotracheal airway into the trachea (ICD-10 code 0BH17EZ).
Outpatient procedures were performed approximately three times more then inpatient procedures. This could be a result of the shift from inpatient to outpatient care, and the emphasis on urgent care and outpatient surgery centers. As more procedures are shifted off the “inpatient-only” list, patients are free to seek care outside of the traditional inpatient hospital setting. Comprehensive joint replacement, one of the most popular procedures in the U.S., may be approved by the Centers for Medicare and Medicaid Services for insurance coverage at outpatient surgery centers.
Knee replacement surgeries currently place fifth and sixth for most popular inpatient surgeries. Interestingly, more than 12,000 replacements of the right knee joint were performed than replacements of the left knee.
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|ICD-10 Description||ICD-10 Code||Number of Procedures||Explore These Claims|
|1.||Insert. of Infusion Device into Superior Vena Cava, Percutaneous||02HV33Z||620,957||Explore This Code|
|2.||Insert. of Endotracheal Airway into Trachea||0BH17EZ||313,946||Explore This Code|
|3.||Inspection of Upper Intestinal Tract, Endoscopic||0DJ08ZZ||196,493||Explore This Code|
|4.||Excision of Stomach, Endoscopic, Diagnostic||0DB68ZX||177,121||Explore This Code|
|5.||Replacement of Right Knee Joint w/ Synthetic Substitute, Cemented, Open Approach||0SRC0J9||170,376||Explore This Code|
|6.||Replacement of Left Knee Joint w/ Synthetic Substitute, Cemented, Open Approach||0SRD0J9||158,600||Explore This Code|
|7.||Inspection of Lower Intestinal Tract, Endoscopic||0DJD8ZZ||122,498||Explore This Code|
|8.||Dilation of Coronary Artery, w/ Drug-eluting Intraluminal Device, Percutaneous Approach||027034Z||107,671||Explore This Code|
|9.||Insert. of Infusion Device into Right Internal Jugular Vein, Percutaneous Approach||05HM33Z||92,494||Explore This Code|
|10.||Insert. of Feeding Device into Stomach, Percutaneous||0DH63UZ||79,022||Explore This Code|
|11.||Insert.of Pacemaker Lead into Right Ventricle, Percutaneous||02HK3JZ||75,538||Explore This Code|
|12.||Resection of Gallbladder, Percutaneous Endoscopic||0FT44ZZ||72,196||Explore This Code|
|13.||Drainage of Right Pleural Cavity, Percutaneous||0W993ZZ||70,274||Explore This Code|
|14.||Drainage of Bladder w/ Drainage Device||0T9B70Z||69,913||Explore This Code|
|15.||Drainage of Peritoneal Cavity, Percutaneous||0W9G3ZZ||67,553||Explore This Code|
|16.||Insert. of Pacemaker Lead into Right Atrium, Percutaneous||02H63JZ||64,187||Explore This Code|
|17.||Insert. of Infusion Device into Right Atrium, Percutaneous||02H633Z||63,034||Explore This Code|
|18.||Bypass Coronary Artery, One Artery from Left Internal Mammary||02100Z9||61,535||Explore This Code|
|19.||Drainage of Spinal Canal, Percutaneous Approach, Diagnostic||009U3ZX||60,056||Explore This Code|
|20.||Insert. of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach||0JH606Z||58,768||Explore This Code|
|21.||Excision of Duodenum, Endoscopic, Diagnostic||0DB98ZX||56,207||Explore This Code|
|22.||Drainage of Left Pleural Cavity, Percutaneous||0W9B3ZZ||49,105||Explore This Code|
|23.||Inspection of Tracheobronchial Tree, Endoscopic||0BJ08ZZ||48,109||Explore This Code|
|24.||Drainage of Right Pleural Cavity w/ Drainage Device, Percutaneous||0W9930Z||47,607||Explore This Code|
|25.||Excision of Toe Nail, External||0HBRXZZ||45,171||Explore This Code|
Fig 2. Not including Routine Venipuncture (CPT code 36475). Data from Definitive Healthcare based on 2016 Medicare SAF
(1/1/2016 - 12/31/2016). All-Payor estimates are based on Definitive Healthcare calculations and algorithms. Calendar Year 2017 data
is projected to be released in fall 2018 by the Centers for Medicare and Medicaid Services (CMS).