TY - JOUR
T1 - Use of Functional Rhinoplasty in the Aging Nose
T2 - Medicare Database Analysis
AU - Geelan-Hansen, Katie
AU - Were, Vega
AU - Miller, Mark
AU - Heckman, William Wes
N1 - Publisher Copyright:
© 2022, American Academy of Facial Plastic and Reconstructive Surgery, Inc.
PY - 2022/8/1
Y1 - 2022/8/1
N2 - Introduction: Nasal obstruction is a common clinical problem. It has become more recognized that the internal and external nasal valves are the areas of greatest resistance. There are changes with aging that can contribute to nasal valve compromise. This study sought to evaluate the utilization of functional rhinoplasty, septoplasty, and inferior turbinate reduction procedures in the Medicare population. Methods: The annual procedure data were obtained from the Part B National Summary Data File from 2000 to 2019. Functional rhinoplasty procedures using current procedural terminology (CPT) for rhinoplasty (30400, 30410, 30420, 30465), septoplasty (30520), and inferior turbinate reduction (30801, 30802, 30130, 30140, 30930) procedures were analyzed. Results: There was increased use of CPT codes 30465, 30410, and 30420 with a decrease in 30400. There was an overall increase in codes 30520 and 30140. When adjusting for the Medicare population per 100,000 enrollees, there was increased use of 30465 and 30140 and decrease in 30520. The charges and payment trends were similar to the overall use of CPT codes. Discussion: There is an overall increase in use of nasal airway procedures including functional rhinoplasty in the aging population.
AB - Introduction: Nasal obstruction is a common clinical problem. It has become more recognized that the internal and external nasal valves are the areas of greatest resistance. There are changes with aging that can contribute to nasal valve compromise. This study sought to evaluate the utilization of functional rhinoplasty, septoplasty, and inferior turbinate reduction procedures in the Medicare population. Methods: The annual procedure data were obtained from the Part B National Summary Data File from 2000 to 2019. Functional rhinoplasty procedures using current procedural terminology (CPT) for rhinoplasty (30400, 30410, 30420, 30465), septoplasty (30520), and inferior turbinate reduction (30801, 30802, 30130, 30140, 30930) procedures were analyzed. Results: There was increased use of CPT codes 30465, 30410, and 30420 with a decrease in 30400. There was an overall increase in codes 30520 and 30140. When adjusting for the Medicare population per 100,000 enrollees, there was increased use of 30465 and 30140 and decrease in 30520. The charges and payment trends were similar to the overall use of CPT codes. Discussion: There is an overall increase in use of nasal airway procedures including functional rhinoplasty in the aging population.
UR - http://www.scopus.com/inward/record.url?scp=85135421723&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85135421723&partnerID=8YFLogxK
U2 - 10.1089/fpsam.2020.0536
DO - 10.1089/fpsam.2020.0536
M3 - Article
C2 - 33847511
AN - SCOPUS:85135421723
SN - 2689-3614
VL - 24
SP - 271
EP - 275
JO - Facial Plastic Surgery and Aesthetic Medicine
JF - Facial Plastic Surgery and Aesthetic Medicine
IS - 4
ER -