ACR Urges CMS to Address Radiology Needs in 2026 HOPPS Rule
ACR urges CMS to establish clear AI payment pathways in SaaS policy and calls for increased reimbursement for essential radiology services.
Read moreThe American College of Radiology® (ACR®) created impact tables that illustrate how the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule affects specific radiology-related tests and procedures.
The tables cover specific proposed changes in reimbursement rates between 2024 and 2025 for each Current Procedural Terminology® (CPT®) code. The 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 Centers for Medicare and Medicaid Services (CMS) proposes the 2025 conversion factor at $32.35 PFS, an approximate 2.8% decrease from the 2024 conversion factor. The decrease is due to the expiration of a 2.93% update Congress added to the MPFS CF for 2024. ACR staff will re-calculate the impact tables upon the release of the CY2025 MPFS final rule this fall using the finalized conversion factor.
Questions about the MPFS final rule impacts should be directed to Katie Keysor, ACR Senior Director of Economic Policy.
ACR Urges CMS to Address Radiology Needs in 2026 HOPPS Rule
ACR urges CMS to establish clear AI payment pathways in SaaS policy and calls for increased reimbursement for essential radiology services.
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