Reoperative Cervical Endocrine Surgery: Appropriate Valuation for the Time and Effort?

Andres F. Doval, Anthony Echo, Feibi Zheng

Research output: Contribution to journalArticlepeer-review


Background: Controversies currently exist regarding the best way to appropriately quantify complexity and to benchmark reimbursement for surgeons. This study aims to analyze surgeon reimbursement in primary and redo-thyroidectomy and parathyroidectomy using operative time as a surrogate for complexity. Methods: A retrospective analysis using the National Surgical Quality Improvement Program database was performed to identify patients who underwent primary and redo-thyroidectomy and parathyroidectomy. Calculations of median operative time work relative value units per minute and dollars per minute were compared between primary and redo procedures. Results: Thyroidectomy cases represented 53.5% (22,521 cases), and the other 46.5% (19,596 cases) were parathyroidectomy cases. The median dollars per minute in primary thyroidectomy was $4.97 and for redo-thyroidectomy was $8.12 (P < 0.0001). By the same token, dollars per minute were higher in the redo cases with $15.40 when compared with primary parathyroidectomy cases with $13.14 dollars per minute (P < 0.0001). Conclusions: By Current Procedural Terminology codes, surgeons appear to be appropriately reimbursed for redo-thyroid and parathyroid procedures indexed to first time parathyroidectomy based on the compensated operative time of these procedures calculated using a nationally representative sample.

Original languageEnglish (US)
Pages (from-to)155-159
Number of pages5
JournalJournal of Surgical Research
StatePublished - Jul 2021


  • Current procedural terminology
  • Endocrine surgical procedures
  • General surgery
  • Reimbursement
  • Relative value scale
  • Reoperation

ASJC Scopus subject areas

  • Surgery


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