Underutilization and disparities in access to EGFR testing among Medicare patients with lung cancer from 2010 – 2013

Table 3 HCPCS and ICD9 procedure codes used to identify lung biopsies and surgeries in the Medicare Fee-for-Service Part B claims

Procedure	HCPCS codes	Surgical pathology	Molecular test	Percent tested
Patients who underwent tissue analysis	88305, 88307, 88309	465,168	40,085	8.6
Fine-needle aspiration	10021, 10022	48,901	5,789	11.8
Lymph node biopsy	38505	8,741	957	10.9
Bronchoscopy	31622, 31623, 31624, 31625, 31626, 31627	143,900	16,608	11.5
Thoracentesis	32421	25,854	2,675	10.3
Endobronchial ultrasound	31620	34,512	5,232	15.2
Transbronchial needle aspiration	31628, 31629, 31630, 31631, 31632, 31633	79,480	10,415	13.1
Other bronchoscopies	31635, 31636, 31637, 31638, 31640, 31641, 31643, 31645, 31646	16,365	1,668	10.2
Transcatheter biopsy	32400, 32405	130,485	19,063	14.6
Mediastinoscopy	39400	21,654	3,603	16.6
Video-assisted thoracoscopic surgery	32663, 32665, 32666, 32667, 32668, 32669, 32670, 32671, 32672	24,739	4,173	16.9
Open surgery	32440, 32442, 32445, 32480, 32482, 32484, 32488, 32491, 32505, 32506, 32507	32,886	4,778	14.5
Thoracotomy	32,096, 32097, 32098, 32110, 32120, 32124, 32140, 32141, 32486, 32501	5,594	704	12.6
Thoracoscopy	32601, 32602, 32603, 32604, 32605, 32606, 32650, 2651, 32652, 32653, 32654, 32655, 32656, 32657, 32658, 32659, 32660, 32661, 32662, 32663	34,496	5,315	15.4

Abbreviations: HCPCS Healthcare Common Procedure Coding System, ICD-9 CM International Classification of Disease
Source: RTI analysis of 2011–2013 Medicare claims data

ISSN: 1471-2407