Osteointegration Survey The intent of this survey is to gather data to support creating specific CPT codes for procedural billing of osteointegration procedures based on practice patterns from surveyed membership from the OTA, MSTS, and LLRS. Please answer the following questions to the best of your ability. Question Title * 1. Do you perform Osteointegration? Yes No Question Title * 2. In what region do you practice? - New England (CT, MA, ME, NH, RI, VT) - Mid Atlantic (NJ, NY, PA) - East North Central (IL, IN, MI, OH, WI) - West North Central (IA, KS, MN, MO, ND, NE, SD) - South Atlantic (DC, DE, FL, GA, MD, NC, SC, VA, WV) - East South Central (AL, KY, MS, TN) - West South (AR, LA, OK, TX) - Mountain (AZ, CO, ID, MT, NM, NV, UT, WY) - Pacific (AK, CA, HI, OR, WA) Question Title * 3. What type of practice would you say you have? - Academic - Private practice – ortho group - Private practice – multispecialty group - Hospital employed - Pre-paid Plan/HMO - Military Practice - Locum Tenens Question Title * 4. Other (specify)What is your primary subspecialty? - Oncology - Trauma - Plastics Surgery - Foot & Ankle - Pediatrics - Rehabilitation/prosthetics/orthotics - Generalist Other (please specify) Question Title * 5. What’s your age group? - Under 40 - 40-49 - 50-59 - 60-69 - 70 and over Question Title * 6. Do you perform osseointegration (OI) regularly (i.e. more than 2-3 cases/year)? - Yes - No Question Title * 7. How many OI cases do you perform annually? - 1-3 - 4-7 - 7-10 - >10 Question Title * 8. What indications have you utilized OI for previously (check all that apply)? - Transfemoral - Transtibial - Transhumeral Other (please specify) Question Title * 9. How many stages does your typical OI case utilize? - 1 - 2 - 3+ Question Title * 10. If your primary specialty is orthopaedics, do you typically utilize plastic surgery for one or more of the OI stages? - Yes - No - Sometimes Question Title * 11. If you utilize plastic surgery assistance, do you bill as co-surgeons or does each surgeon bill for their individual portion of the case? - Co-surgeon - Individually Question Title * 12. When coding for OI, what types of codes do you typically utilize? (check all that apply) - Revision amputation - ORIF - Osteoplasty - Soft tissue rearrangement - Unlisted procedure - Combination of multiple of the above Question Title * 13. Do you typically add a Modifier 22 (increased procedural complexity) to any portions of your procedure? If so, please indicate which ones under "Other". - Yes - No Other (please specify) Question Title * 14. Do you typically utilize targeted muscle reinnervation (TMR) or regenerative peripheral nerve interface (RPNI) during your OI cases? - Yes - No - Sometimes Question Title * 15. Do you work with a prosthetist that is experienced in OI implants and/or prostheses? Yes - I have a local prosthetist Yes - I have to send them to a distant prosthetist No Question Title * 16. What OI implants have you used? Compress OPRA Signature ITAP Other (please specify) Question Title * 17. Have you had increased difficulty in obtaining insurance approval for portions of either the procedure or postoperative care for your OI patients? Yes No Other (please specify) Done