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November 25, 2025Journal of the American Academy of Orthopaedic Surgeons

Work Relative Value Units Comparison Between Foot and Ankle Surgeries and Other Orthopaedic Procedures: A Propensity Score–Matched Analysis

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Authors

PSPatrick SunMGMiriyam GhaliWLWonyong Lee

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Overview

Analysis reveals foot and ankle surgeries yield lower compensation in orthopaedic procedures, highlighting disparities.

Key Points

  • This research aims to evaluate compensation adequacy of foot and ankle surgeries compared to other orthopaedic procedures.
  • Identified procedures from National Surgical Quality Improvement Program using CPT codes.
  • Classified procedures into foot and ankle (FA) and non-FA categories.
  • Used 1:1 propensity score matching on age, sex, case setting, and case urgency for analysis.
  • Employed analysis of covariance to assess the impact of comorbidities and complications.
  • FA procedures had significantly longer operative time (96.55 vs. 86.90 min).
  • Lower work relative value units (11.35 vs. 14.40) in FA compared to non-FA procedures.
  • FA procedures generated significantly lower wRVU/hr (8.77 vs. 13.51), translating to lower reimbursement rates ($382.25/hr vs. $487.65/hr).

Cite This Study

Sun et al. (2025) studied this question.

synapsesocial.com/papers/692502be87af00ed34ac21b3https://doi.org/10.5435/jaaos-d-25-01001
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