Medicare Payment for Orthopaedic Oncology Procedures Over the Past 20 Years

Jordan R. Pollock, Evan H. Richman, Nicolas P. Kuttner, Joseph C. Brinkman, Nathaniel B. Hinckley, Jack M. Haglin, M. Lane Moore, Sean V. McGarry

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Medicare payment has been examined in a variety of medical and surgical specialties. This study examines Medicare payment in the subspecialty of orthopaedic oncology. METHODS: The Physician Fee Schedule Look-up Tool was used to obtain payment information from 2000 to 2020 for procedures related to orthopaedic oncology billed to Medicare. RESULTS: For the 38 included orthopaedic oncology procedures, inflation-adjusted Medicare payment decreased an average of 13.6% overall from 2000 to 2020. After adjusting for inflation, the payment for procedures related to spine and pelvis increased by 7.6%, procedures relating to limb salvage increased by 14.6%, procedures associated with the surgical management of complications decreased by 26.9%, and procedures relating to metastatic disease management decreased by 34.8%. CONCLUSION: Medicare payment has declined by 13.6% from 2000 to 2020. This variation in Medicare payment represents a difference in valuation of these procedures by the Centers for Medicare and Medicaid Services and could be used to direct healthcare policy.

Original languageEnglish (US)
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Issue number8
StatePublished - Aug 1 2022

ASJC Scopus subject areas

  • Medicine(all)


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