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Insights

CPT Codes with Biggest YoY Decrease

This insight identifies CPT codes with the largest negative year-over-year movement in the current schedule window. Downward shifts can pressure margins, alter staffing assumptions, and increase attention to payer mix strategy.

Table

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76856Pelvic ultrasound non-obstetric-5.1$138.91
64483Transforaminal epidural injection-5.5$219.04
31231Nasal endoscopy diagnostic-5.8$109.72
47562Laparoscopic cholecystectomy-6.2$560.34
22551Cervical arthrodesis, anterior-6.8$1,014.20
95810Polysomnography, full night-7.6$587.40

Insights

  • Declines are often concentrated in codes affected by valuation adjustments or resource reweighting.
  • Lower payment trends amplify the need for documentation precision and denial prevention.
  • Service-line leaders should monitor whether volume offsets reduced per-code reimbursement.

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