A survey on Current Procedural Terminology (CPT) by Iranian Urological Association
Urology Journal,
,
1 January 2020
,
Page 6445
https://doi.org/10.22037/uj.v16i7.6445
Abstract
Purpose: The purpose of Current Procedural Terminology (CPT) is to offer a universal language to describe medical services. The elaborate systems designed by high-income countries are not fully applicable in ones with limited resources. Therefore, in the current study we aimed to ask urologists' opinion about deploying relative value units in valuation of medical services in Islamic republic of Iran.
Materials and Methods: A group of appointed urologists first selected 15 urological surgeries as exemplar urological procedures. Next, urologists around the country were asked to fill out an online questionnaire comparing these procedures with standard one (varicocelectomy). Then, mean scores of four categories (Difficulty, duration, adverse events and legal issues) were determined separately for each of the 15 procedures. Subsequently, mean score for each surgery was measured using the calculated mean scores of the four aforementioned categories.
Results: 273 urologists completed an online questionnaire. All of the calculated codes were higher compared to the current codes. Urethroplasty showed the least increment with 25.22 equivalent to 51.69% while extracorporeal shock wave lithotripsy showed the most increment of 63.59 equivalent to 114.37%.
Conclusion: Although CPT is an important tool in valuation of medical services, making modifications to it, especially in low-to-middle-income countries seems necessary. In this survey, we aimed to evaluate current surgical codes for urological procedures based on urologists' opinion. All of the calculated codes were higher compared with current codes. This, indicated the necessity of making changes in relative value units of urological procedures.
- Current Procedural Terminology; Economy; Relative Value Units; Surgery; Urology
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References
2) Bath M, Bashford T, Fitzgerald JE. What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health. BMJ global health. 2019 Oct 1;4(5).
3) Ducatman BS. Cytology-Diagnostic Principles and Clinical Correlates. Elsevier-Health Sciences Division; 2014.
4) Mathauer I, Wittenbecher F. Hospital payment systems based on diagnosis-related groups: experiences in low-and middle-income countries. Bulletin of the World Health Organization. 2013 Aug 6;91:746-56A.
5) Peden AH. An overview of coding and its relationship to standardized clinical terminology. Topics in health information management. 2000 Nov 1;21(2):1-9.
6) AMA: American medical association; 2019 Available from: https://www.ama-assn.org/practice-management/cpt/cpt-overview-and-code-approval [Access date: 2020]
7) Olyaeemanesh A, Manavi A, Monazzam K. Documentation and studies conducted at the Department of Health Economics. Department of Health, Ministry of Health and Medical Education, Iran. 2004.
8) Moradi-Lakeh M, Vosoogh-Moghaddam A. Health sector evolution plan in Iran; equity and sustainability concerns. International journal of health policy and management. 2015 Oct;4(10):637.
9) AMA: American medical association; 2019 Available from: https://www.ama-assn.org/about/cpt-editorial-panel/cpt-code-process [Access date: 2020]
10) Johnson SE, Newton WP. Resource-based relative value units: a primer for academic family physicians. FAMILY MEDICINE-KANSAS CITY-. 2002 Mar 1;34(3):172-6.
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