Paired Comparison Survey Analyses Utilizing Rasch Methodology of the Relative Difficulty and Estimated Work Relative Value Units of CPT® Code 27279

  title={Paired Comparison Survey Analyses Utilizing Rasch Methodology of the Relative Difficulty and Estimated Work Relative Value Units of CPT{\textregistered} Code 27279},
  author={Morgan Lorio and Melissa S. Martinson and Lisa A. Ferrara},
  journal={International Journal of Spine Surgery},
Background Minimally invasive sacroiliac joint arthrodesis (“MI SIJ fusion”) received a Category I CPT® code (27279) effective January 1, 2015 and was assigned a work relative value unit (“RVU”) of 9.03. The International Society for the Advancement of Spine Surgery (“ISASS”) conducted a study consisting of a Rasch analysis of two separate surveys of surgeons to assess the accuracy of the assigned work RVU. Methods A survey was developed and sent to ninety-three ISASS surgeon committee members… Expand
Comparing Relative Value Units among Shoulder Arthroplasty, Hemiarthroplasty, and ORIF for Proximal Humerus Fractures in the Elderly: Which is Most Worth Your Time?
Object Relative value units (RVUs) are assigned to Current Procedural Technology (CPT) codes and give relative economic values to the services physicians provide to optimize daily procedural cost-effectiveness in their practices and RSA/TSA provides significantly greater reimbursement rates compared to HA and ORIF. Expand
What provides a better value for your time? The use of relative value units to compare posterior segmental instrumentation of vertebral segments.
  • R. D. Orr, N. Sodhi, +7 authors Michael A Mont
  • Medicine
  • The spine journal : official journal of the North American Spine Society
  • 2018
The RVU/min takes into account not just the value provided but also the operative times required for highly complex cases, indicating that compensation is not proportional to the added time, effort, and skill for more complex cases. Expand
Are We Appropriately Compensated by Relative Value Units for Primary vs Revision Total Hip Arthroplasty?
  • N. Sodhi, N. Piuzzi, +4 authors Michael A Mont
  • Medicine
  • The Journal of arthroplasty
  • 2018
Although revision THAs are more complex cases requiring longer operative time, greater technical skill, and aftercare, compensation per time is not greater, and Maximizing the RVU/minute provides the greatest "hourly rate". Expand
A Comparison of Relative Value Units in Primary Versus Revision Total Knee Arthroplasty.
Orthopedic surgeons can use the information to better understand the dynamics of their time, compensation, and ultimately, their practice after performing an individualized idealized surgeon annual cost difference analysis for primary vs revision TKA. Expand
Not all primary total hip arthroplasties are equal-so is there a difference in reimbursement?
  • N. Sodhi, S. Dalton, +7 authors Michael A Mont
  • Medicine
  • Annals of translational medicine
  • 2019
Even though conversion THA can be considered to a more complex and demanding procedure, based on RVUs per minute of surgery, orthopaedic surgeons are reimbursed better for primary THA cases. Expand
Comparison of a Posterior versus Anterior Approach for Lumbar Interbody Fusion Surgery Based on Relative Value Units.
The data from this study indicates a potentially greater annual compensation of nearly $80,000 for performing ALif as opposed to PLIF due to a higher "hourly rate" for ALIF as is noted by the significantly greater RVU per minute. Expand
Relative value units and reimbursement for primary and revision total shoulder arthroplasty
Compared with published reports on total hip and knee arthroplasty, primary TSA has lower RVU/minute assignment and lower dollars/minute reimbursement than revision TSA, and the RVU per minute and reimbursement in dollars per minute of operative time are higher for revision TSA than for primary TSA. Expand
Economic Value in Minimally Invasive Spine Surgery
MIS surgery has the potential to be of high economic value, though this is not yet definitive, and future research should continue to focus on high-quality cost-effectiveness studies with clear methodologies to further elucidate economic value in MIS surgery. Expand
Utilization of a Paired Comparison Analysis Framework to Inform Decision-Making and the Prioritization of Projects and Initiatives in a Highly Matrixed Clinical Research Program.
The purpose of this project was to determine the effectiveness of a PC analyses framework to inform decision-making in the context of the prioritization of projects assigned to or initiated by the CSP HSS group. Expand


How Much Work Effort is Involved in Minimally Invasive Sacroiliac Joint Fusion?
Time utilization for performance of MI SI joint fusion and a comparator of primary lumbar discectomy (PLD) indicates at a minimum an equal RVU for PLD should be used for MISI joint fusion. Expand
Rasch analysis in measurement of physician work.
The result of applying the Rasch analysis of paired comparisons to a series of spinal operations indicates that this technique could be expanded to many other groups of related medical services, with improved relative valuation of physician work. Expand
The Use of Intraservice Work per Unit of Time (IWPUT) and the Building Block Method (BBM) for the Calculation of Surgical Work
The use of IWPUT/BBM has been instrumental to correct payment for undervalued surgical procedures and to solve reimbursement, compensation, and practice management problems facing surgeons. Expand
Results, potential effects, and implementation issues of the Resource-Based Relative Value Scale.
The overall results of the Resource-Based Relative Value Scale (RBRVS) study are presented and it is found that preservice and postservice work represents close to 50% of total work for invasive services and 33% oftotal work for evaluation/management services. Expand
The first stage of developing preference-based measures: constructing a health-state classification using Rasch analysis
The health-related quality of life of patients with conditions like overactive bladder can be valued and quality adjustment weights estimated for calculation of quality-adjusted life years. Expand
Rasch Analysis in the Human Sciences
What is Rasch Measurement & How Can Rasch Measurement Help Me?.- Rating Scale Surveys, A Rasch Rating Scale Analysis (Step I)-Reading Data and Running an Analysis.- Understanding Person Measures.-Expand
Generalizing the Rasch Model for Consumer Rating Scales
A probabilistic Rasch model is advocated for brand-attribute measurements which replace ubiquitous mean ratings. The usefulness of this model is then extended by showing that distinct latentExpand
Percutaneous Sacroiliac Joint Fusion
  • May
  • 2015
ISASS Proposed Recommendations/ Coverage Criteria for Minimally Invasive Sacroiliac Joint Fusion 2016 – Coverage Indications, Limitations, and/or Medical Necessity
  • 2016
Online subscription
  • 2015