Declining Overall Use of Cervical Disk Arthroplasty in Medicare Beneficiaries Despite Outpatient Migration, 2016 to 2022.
Publication/Presentation Date
1-1-2026
Abstract
BACKGROUND: Cervical disk arthroplasty (CDA) has gained popularity as a motion-preserving alternative to anterior cervical diskectomy and fusion (ACDF) for treating cervical degenerative disk disease. The aim of this study was to evaluate national trends in Medicare use and reimbursement for CDA across settings, provider types, and geographic regions.
MATERIALS AND METHODS: This is a retrospective national database analysis using Centers for Medicare and Medicaid Services Medicare Part A and Part B claims from 2016 to 2022. Single- and multilevel CDA procedures were identified using Current Procedural Terminology and Medicare Severity Diagnosis Related Group codes. Inflation-adjusted payments and procedure counts were analyzed using descriptive statistics, linear regression, analysis of variance, and
RESULTS: Outpatient single-level CDA volume increased by 1,016.0% from 2016 to 2022, whereas inpatient CDA volume decreased by 90.3%. Outpatient reimbursement rose from $1,459 to $3,143 (
CONCLUSION: CDA procedures have shifted dramatically toward outpatient care, with marked differences in Medicare reimbursement across provider types and regions.
Volume
49
Issue
4
First Page
310
Last Page
310
ISSN
1938-2367
Published In/Presented At
Ng, M. K., Mastrokostas, P. G., Lavi, A. B., Schwartz, L. B., Mastrokostas, L. E., Dalton, J., Lee, Y., Green, W., Eichbaum, Y., Baek, G., Mathew, J., Hitchner, M., Kucherina, A., Giakas, A., Jagtiani, P., Monsef, J. B., Razi, A. E., Cha, T. D., Kurd, M. F., Wilt, Z., … Schroeder, G. D. (2026). Declining Overall Use of Cervical Disk Arthroplasty in Medicare Beneficiaries Despite Outpatient Migration, 2016 to 2022. Orthopedics, 49(4), e310–e316. https://doi.org/10.3928/01477447-20260608-02
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
42412075
Department(s)
Administration and Leadership
Document Type
Article