Answers
Plain-language answers for orthopedic groups, grounded in the 63,605 orthopedic surgery disputes CMS published for 2025.
The orthopedic IDR record
63,605 disputes in 2025, an 85 percent win rate, $24,000 median spine hardware awards, and multiples that doubled in a year.
Read the answerCan orthopedic surgeons use IDR?
Trauma is untouchable, scheduled cases follow the waiver rules, and assistant surgeons always qualify. The eligibility sort.
Read the answerSpine hardware awards in IDR
The $113 QPA next to the $24,000 award: the three instrumentation lines, why the gap exists, and how to file them.
Read the answerFor questions beyond this site, such as which claims are eligible or how the arbitration itself unfolds, see the Lido IDR answers library. The full dispute record is explorable at idrexplorer.com.
Have a question about your own claims?
Bring your payer mix and rough out-of-network volume to a 30 minute call. We will sort what is eligible and show you what similar providers are winning. Talk to an IDR specialist.