Physician Fee Schedule

PFS 2026: Key Part B Payment Adjustments for January 1 Implementation

Source published November 5, 2025

What Changed

Action required by

January 1, 2026

Review the Action Required section below and ensure your team has completed all compliance steps before this date.

What Changed

The Physician Fee Schedule (PFS) will undergo significant adjustments effective January 1, 2026, as outlined in the Federal Register Final Rule (Policy ID: FR-2025-19787). These changes will modify reimbursement rates for a variety of services provided by physicians and other healthcare professionals under Medicare Part B. The updates aim to better align payment rates with the actual costs of delivering care and to reflect the evolving nature of healthcare services.

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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.