For CY 2025, based on public input and consultation with specialty societies, and as discussed in the CY 2025 PFS Proposed Rule, CMS proposes to update and expand coverage for CRC screening. As discussed in the CY 2025 PFS Proposed Rule, CMS proposes to make the following revisions: remov...
CMS also finalized its proposal that beginning in CY 2024, intensive cardiac rehabilitation services (HCPCS codes G0422 and G0423) provided by an off-campus, non-excepted PBD of a hospital will be paid at 100 percent of the OPPS rate (which is also 100 percent of the PFS rate) rather th...
Under the physician fee schedule (PFS), average payment rates will reduce the conversion factor by 2.83% in 2025 compared to 2024 rates, resting at $32.35 in 2025 compared to $33.29 in 2024. The PFS final rule eliminates the temporary 2.93% increase in Medicare physician payments as...