ACR Recommends CPT Code Placements for 2026 Medicare HOPPS

The American College of Radiology®(ACR®) submitted recommendations to the Centers for Medicare and Medicaid Services (CMS) this week regarding the placement and reimbursement of new Current Procedural Terminology® (CPT®) codes in the 2026 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule. ACR focused on the ambulatory payment classification (APC) and corresponding payment rate for new CPT codes describing endovascular therapy services, prostate biopsies, CT cerebral perfusion and CT angiography, radiation oncology treatment delivery, coronary atherosclerotic plaque assessment, and several lower extremity vascular procedures.

CMS will review recommendations as it develops the HOPPS proposed rule to be released this summer.

For more information or if you have questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst, or Christina Berry, ACR Team Lead, Economic Policy.