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CY 2027 Medicare Physician Fee Schedule Proposed Rule Summary
On July 14, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) proposed rule and fact sheet for CY 2027 (CMS-1848-P). This rule updates payment policies and payment rates for Part B services furnished under the MPFS. The data files including Addendum B, which lists the proposed RVUs for each CPT® code can be found here. Comments are due September 14.
With the release of this rule, CMS signals the possibility of moving away from the AMA CPT and RUC process by creating or proposing several new HCPCS G code replacing CPT codes for payment in the Medicare program. Coinciding with the creation of new HCPCS G codes, the agency also outlines a request for information (RFI) asking stakeholders to provide information on the use of CPT codes for physician payment and if the use of CPT codes creates a payment system with contradictory incentives. This proposed rule also contains several other formal RFIs including ways to improve primary care and seeking improved payment methodologies for the global surgical package.
Read more here.
