TY - JOUR T1 - The Rising Incidence of Acromioplasty AU - Vitale, Mark A. AU - Levine, William N. Y1 - 2011/02/16 N1 - JO - The Journal of Bone & Joint Surgery SP - e12 6 EP - 6 VL - 93 IS - 4 N2 - We commend Dr. Schneider for his thoughtful review of our manuscript and careful consideration of factors that may contribute to the increasing frequency and population-based incidence of acromioplasty procedures over the past decade as documented independently by both CPT codes (in the ABOS database) and ICD-9 procedure codes (in the SPARCS database). Dr. Schneider points out that while the incidence of coding of acromioplasty by ICD-9 procedure and CPT codes has increased, this may not necessarily reflect a true increase in the incidence of the procedure over this period. Other reasons to explain the increased coding include the so-called unbundling of procedure codes for shoulder surgery, the increasing pressures for coding documentation by the ABOS, and a growing financial incentive to bill for multiple codes, given decreasing reimbursements from insurers. SN - 0021-9355 M3 - doi: UR - http://dx.doi.org/ ER -