RVU

In the field of peritoneal surface malignancies, there is a noticeable lack of research assessing clinical effort, workload, and commensurate reimbursement. The goal of our study is to assess the reimbursement landscape in terms of relative value units (wRVUs), particularly focusing on the intricate relationship between clinical and operative effort and subsequent reimbursement.

Our research employs a rich data set that factors in variables such as the location of practice, years since completion of final training, and the clinical full-time equivalent (cFTE) for the years 2020 to 2022. It further considers the portion of the practice committed to peritoneal surface malignancies (PSM) and the number of wRVUs performed over the last three years.

We critically examine specific elements of the HIPEC procedure, including CRS, peritonectomies, colon resection, TAH-BSO, as well as exploring the role of unlisted codes, modifiers, and the perception of wRVU accuracy in PSM work effort. The aim is to furnish a more nuanced understanding of wRVU allocation in HIPEC, providing a valuable foundation for discussions on coding, billing, and fair compensation in this high complexity surgical domain.