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Annals of Surgical Oncology
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19-11-2023 | ASO Author Reflections

ASO Author Reflections: Decoding the Complexities of Cytoreductive Surgery and HIPEC Procedural Billing: A Potential Blueprint for the Peritoneal Surface Malignancy Surgeon

Authors: Andres A. Abreu, MD, Sam C. Wang, MD, Giorgios Karagkounis, MD, Patricio M. Polanco, MD

Published in: Annals of Surgical Oncology | Issue 3/2024

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Excerpt

Over 20 years have passed since the introduction of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC), yet the financial implications of these procedures in the United States have been scarcely explored.1,2 Procedure-specific Current Procedural Terminology (CPT) codes do not exist for CRS/HIPEC cases, which may be highly time-intensive due to the need for multiple organ resections, tedious cytoreduction, and perfusion.3,4 As a result, CRS/HIPEC cases are often billed as bundled services, which leads to inaccurate work estimation within the relative value unit (RVU) system. …
Literature
1.
Squires MH 3rd, Staley CA, Knechtle W, et al. Association between hospital finances, payer mix, and complications after hyperthermic intraperitoneal chemotherapy: deficiencies in the current healthcare reimbursement system and future implications. Ann Surg Oncol. 2015;22:1739–45.CrossRefPubMed
2.
Sugarbaker PH, Ronnett BM, Archer A, et al. Pseudomyxoma peritonei syndrome. Adv Surg. 1996;30:233–80.PubMed
3.
Hsiao WC, Braun P, Yntema D, et al. Estimating physicians’ work for a resource-based relative-value scale. N Engl J Med. 1988;319:835–41.CrossRefPubMed
4.
Polanco PM, Ding Y, Knox JM, et al. Institutional learning curve of cytoreductive surgery and hyperthermic intraperitoneal chemoperfusion for peritoneal malignancies. Ann Surg Oncol. 2015;22:1673–9.CrossRefPubMed
5.
Metadata
Title
ASO Author Reflections: Decoding the Complexities of Cytoreductive Surgery and HIPEC Procedural Billing: A Potential Blueprint for the Peritoneal Surface Malignancy Surgeon
Authors
Andres A. Abreu, MD
Sam C. Wang, MD
Giorgios Karagkounis, MD
Patricio M. Polanco, MD
Publication date
19-11-2023
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 3/2024
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-023-14582-1

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