Healthcare Insights

Top 25 Surgical Procedures (Inpatient & Outpatient)

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 

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 ICD-10 DescriptionICD-10 CodeNumber of ProceduresExplore 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).

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