Cost-volume analysis of deep inferior epigastric artery perforator flaps for breast reconstruction in the United States

Reversal in Centers for Medicare & Medicaid Services Reimbursement for Deep Inferior Epigastric Perforator Flap Reconstruction—Empowering Plastic Surgeons in Sustaining Microsurgical Accessibility

“…It is clear that a reevaluation of reimbursement rates and quantity of RVUs assigned to CPT codes used for microsurgical procedures, including DIEP flap reconstruction, lymphatic reconstruction, and breast neurotization, is needed to allow these procedures to be sustainable. Studies such as Park et al 8 have already demonstrated long-term cost savings at high-volume centers performing DIEP flap reconstructions. High out-of-pocket costs and insurance denials may result in unfavorable hospital bills, limited procedure availability, and health care disparities.…”

Systematic review of cost-effectiveness in breast reconstruction: deep inferior epigastric perforator flap vs. implant-based breast reconstruction

“…Park, [44] Cost analysis -measured or compared costs without health outcomes, Not comparison of DIEP and implant-based reconstruction…”