Medicare Coding Changes and Reported Hernia Size

Alexander Hallway; Erin Isenberg; Ryan Howard; Sean O'Neill; Jenny Shao; Leah Schoel; Michael Rubyan; Anne Ehlers; Dana Telem

doi:10.1001/jama.2024.26829

Medicare Coding Changes and Reported Hernia Size

JAMA. 2025 Jan 16. doi: 10.1001/jama.2024.26829. Online ahead of print.

Authors

Alexander Hallway^{1

2}, Erin Isenberg^{3

4}, Ryan Howard^{1

3}, Sean O'Neill^{1

3}, Jenny Shao¹, Leah Schoel^{1

3}, Michael Rubyan^{3

5}, Anne Ehlers^{1

3}, Dana Telem^{1

3}

Affiliations

¹ University of Michigan Department of Surgery, Ann Arbor.
² University of Michigan Department of Learning Health Sciences, Ann Arbor.
³ University of Michigan Center for Healthcare Outcomes & Policy, Ann Arbor.
⁴ University of Texas Southwestern Medical Center, Dallas.
⁵ University of Michigan Department of Health Management and Policy, Ann Arbor.

PMID: 39821278
DOI: 10.1001/jama.2024.26829

No abstract available

Plain language summary

This study examines the association between CMS coding changes that tied the reimbursement schedule for anterior abdominal hernia repair to the size of the hernia and documented hernia size using a population-level statewide hernia data registry.