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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.

Top 25 Outpatient Surgical Procedures 

 

ICD-10 Description

ICD-10 Code

Number of Procedures

1.

Insert. of Infusion Device into Superior Vena Cava, Percutaneous

02HV33Z

620,957

2.

Insert. of Endotracheal Airway into Trachea

0BH17EZ

313,946

3.

Inspection of Upper Intestinal Tract, Endoscopic

0DJ08ZZ

196,493

4.

Excision of Stomach, Endoscopic, Diagnostic

0DB68ZX

177,121

5.

Replacement of Right Knee Joint w/ Synthetic Substitute, Cemented, Open Approach

0SRC0J9

170,376

6.

Replacement of Left Knee Joint w/ Synthetic Substitute, Cemented, Open Approach

0SRD0J9

158,600

7.

Inspection of Lower Intestinal Tract, Endoscopic

0DJD8ZZ

122,498

8.

Dilation of Coronary Artery, w/ Drug-eluting Intraluminal Device, Percutaneous Approach

027034Z

107,671

9.

Insert. of Infusion Device into Right Internal Jugular Vein, Percutaneous Approach

05HM33Z

92,494

10.

Insert. of Feeding Device into Stomach, Percutaneous

0DH63UZ

79,022

11.

Insert.of Pacemaker Lead into Right Ventricle, Percutaneous

02HK3JZ

75,538

12.

Resection of Gallbladder, Percutaneous Endoscopic

0FT44ZZ

72,196

13.

Drainage of Right Pleural Cavity, Percutaneous

0W993ZZ

70,274

14.

Drainage of Bladder w/ Drainage Device

0T9B70Z

69,913

15.

Drainage of Peritoneal Cavity, Percutaneous

0W9G3ZZ

67,553

16.

Insert. of Pacemaker Lead into Right Atrium, Percutaneous

02H63JZ

64,187

17.

Insert. of Infusion Device into Right Atrium, Percutaneous

02H633Z

63,034

18.

Bypass Coronary Artery, One Artery from Left Internal Mammary

02100Z9

61,535

19.

Drainage of Spinal Canal, Percutaneous Approach, Diagnostic

009U3ZX

60,056

20.

Insert. of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH606Z

58,768

21.

Excision of Duodenum, Endoscopic, Diagnostic

0DB98ZX

56,207

22.

Drainage of Left Pleural Cavity, Percutaneous

0W9B3ZZ

49,105

23.

Inspection of Tracheobronchial Tree, Endoscopic

0BJ08ZZ

48,109

24.

Drainage of Right Pleural Cavity w/ Drainage Device, Percutaneous

0W9930Z

47,607

25.

Excision of Toe Nail, External

0HBRXZZ

45,171

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).