Medicare Physician Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) uses the Medicare Physician Fee Schedule (MPFS) to reimburse physician services. The MPFS is funded by Part B and is composed of resource costs associated with physician work, practice expense and professional liability insurance.

Under the MPFS, each of these three elements is assigned a Relative Value Unit (RVU) for each Current Procedural Terminology (CPT®) code. These RVUs are then adjusted based on the Geographical Practice Cost Index associated with various geographic areas for different medical costs and wage differentials. The conversion factor is the national dollar amount that is multiplied by the total geographically adjusted RVU to determine the Medicare-allowed payment amount for a particular physician service.

2019 Medicare Physician Fee Schedule Proposed Rule

The American College of Radiology (ACR) has found in its detailed analysis of the Calendar Year 2019 Medicare Physician Fee Schedule (MPFS) Proposed Rule that most medical imaging practitioners will see few changes in their rates if the rule is implemented as proposed.

Summary of 2019 MPFS Final Rule

Summary of 2019 MPFS Proposed Rule

2018 Medicare Physician Fee Schedule Proposed Rule

We have prepared a detailed summary of the proposed rule as well as impact tables to show the specific proposed change in reimbursement rates between 2017 and 2018 for each CPT code.

Summary of 2018 MPFS Final Rule

Summary of 2018 MPFS Proposed Rule ACR Comment Letter to CMS on 2018 MPFS Proposed Rule

Medicare Physician Fee Schedule