Summary of 2025 Medicare Physician Fee Schedule Proposed Rule

The American College of Radiology® (ACR®) developed a detailed summary of the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule released by the Centers for Medicare and Medicaid Services (CMS) July 10. The summary outlines Medicare payment provisions and updates to the Quality Payment Program. If finalized, the rule changes for most of the provisions would take effect Jan. 1, 2025. The ACR plans to submit comments to CMS by its Sept. 9 deadline.

CMS estimates an overall impact of the MPFS proposed changes to radiology, nuclear medicine and radiation oncology to be a neutral 0%, while interventional radiology would see an aggregate decrease of 2% if the provisions within the proposed rule are finalized. However, this does not take into account the impact of the expiration of the conversion factor payment increase provided by the Consolidated Appropriations Act, 2024. CMS estimates a CY 2025 conversion factor of $32.3562 compared to the 2024 conversion factor of $33.2875. The proposed 2025 conversion factor is approximately 2.8% lower than the current 2024 conversion factor.

Send questions about payment provisions to EconAdmin@acr.org, or nrdrsupport@acr.org for questions about the Quality Payment Program.