November 17, 2017

ACR Releases Analysis of CY 2018 MPFS Final Rule

The American College of Radiology (ACR) has prepared a detailed analysis of final rule changes to the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2018.

The ACR is pleased with several aspects of the rule, including implementation of the Appropriate Use Criteria (AUC) mandate and CMS’ acceptance of the relative value unit (RVU) recommendations made by the American Medical Association’s Relative Value Scale Update Committee (RUC).

CMS estimates an overall impact of the MPFS proposed changes to radiology, interventional radiology and nuclear medicine to be a neutral zero percent change, while radiation oncology and radiation therapy centers will see a one percent increase overall. The proposed rule included an estimated six percent decrease in reimbursement for Independent Diagnostic Testing Facilities (IDTFs) due to practice expense RVU changes to codes outside of the radiology code set. The estimated impact to IDTFs in the final rule is a four percent reduction.

In the coming weeks, ACR staff will prepare detailed code-level impact tables comparing specific 2017 payment rates to the 2018 payment rates.

Please contact Katie Keysor at with any questions.