2027 Medicare Advantage Final Rule, Rate Released
CMS finalized the 2027 Medicare Advantage and Part D rule, updating benefits, cost sharing, Star Ratings policies, and payment rates for plans.
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ACR Shares 2026 MPFS Impact Tables
Dec. 18, 2025
ACR® released impact tables showing how the 2026 Medicare Physician Fee Schedule final rule will change payments for radiology tests and procedures. The tables compare 2025 and 2026 reimbursement rates for each CPT® code. They include spreadsheets for both 70,000 series codes and non-70,000 codes billed by radiologists, interventional radiologists and radiation oncologists.
Starting Jan. 1, two conversion factors will apply under the Medicare Access and CHIP Reauthorization Act of 2015. Qualifying APM participants will use a $33.5675 conversion factor, which includes a.75% annual update. Non-APM participants will use a $33.4009 conversion factor. ACR calculated the tables using the non-APM rate.
For questions, contact Katie Keysor, ACR Senior Director of Economic Policy, or Kimberly Greck, Senior Economic Policy Analyst.
