Physician Fee Schedule Alert: Medicare Payment Changes — Action by December 31, 2025
Significant updates to Medicare Part B payment policies effective January 1, 2026.
Action required by
January 1, 2026
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
The Federal Register Final Rule outlines significant changes to the Medicare Part B payment policies that will take effect on January 1, 2026.
What Changed Key revisions include updates to the Physician Fee Schedule (PFS), adjusting reimbursement rates for various services provided by physicians and other healthcare professionals. While specific CPT, HCPCS, or ICD-10 codes affected by these changes are not detailed, it is essential for clinical coders to refer to the source document for a comprehensive list of impacted codes. The adjustments in the PFS may influence a wide range of services, necessitating vigilance in reviewing updates for accurate billing practices.
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Quick answers
What are the key changes in the Physician Fee Schedule?
The key changes include adjustments to reimbursement rates for various services.
When do these changes take effect?
The changes will take effect on January 1, 2026.
What should I do to prepare for these changes?
Update encoder terms, train staff, and review charge capture templates.
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.