December 08, 2022

Impact Tables Show Potential Cuts to Specific Imaging Services

The American College of Radiology® (ACR®) has prepared impact tables that convey how the 2023 Medicare Physician Fee Schedule (MPFS) final rule affects payments for radiology related tests and procedures.

The rule, specifically a mandated budget neutrality adjustment to the conversion factor, will negatively affect many medical imaging payment rates without Congressional action. The College is working with other provider organizations to urge congressional leadership to mitigate the 4.47% decrease to the conversion factor (CF) for CY 2023.

The tables cover specific changes in reimbursement rates and relative value units (RVUs) between calendar years 2022 and 2023 for each Current Procedural Terminology® (CPT) code. The ACR analysis includes spreadsheets for the 70,000 series CPT codes and the non-70,000 CPT codes billed by radiologists, interventional radiologists and/or radiation oncologists.

The tables illustrate that the reimbursement rate changes are larger than the proposed RVU changes due to the expiration of the 3% adjustment to the 2022 conversion factor mandated by the Protecting Medicare and American Farmers from Sequester Cuts Act as well as an additional 1.6% budget neutrality adjustment. If Congress does not intervene, radiology as a whole faces potential cuts greater than 10%.

Questions about the MPFS final rule impacts should be directed to Katie Keysor, ACR Senior Director of Economic Policy.