decisionhealth Newsletters, Part B News - 2025 Issue 11 (November)
A 2.5% cut to work RVUs will ding thousands of services, procedures
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Article Overview
This article reviews a 2026 Medicare physician fee schedule change from CMS that applies an efficiency adjustment to thousands of reported services and procedures. It covers the rationale CMS gives for revising work RVUs and intraservice times, identifies major categories of services excluded from the adjustment, and notes the timing of future revisions. The piece is relevant to physician practices, coding professionals, and anyone tracking Medicare payment policy and code valuation changes.
Why This Topic Matters
The change affects valuation for a large number of services reported under CPT and HCPCS and may influence practice revenue, documentation workflows, and coding review priorities. It also highlights which service categories CMS excluded, helping readers understand the scope of the adjustment and what areas may require monitoring as future fee schedule updates are issued.
Article Sections
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Physician payments
Overview of the 2026 fee schedule change and its impact on work RVUs for a broad set of reported services.
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New and time-based codes exempted
Summary of the categories CMS excluded from the adjustment and the general scope of the exclusion list.
What You Will Learn
- What CMS changed in the 2026 Medicare physician fee schedule
- Which broad categories of services are affected or excluded
- How the policy is tied to work RVUs and intraservice times
- When CMS expects the next update cycle to occur
Who Should Read This
- Physician practices
- Medical coders
- Coding auditors
- Revenue cycle staff
- Compliance teams
- Health policy analysts
Codes Discussed
Code Ranges Discussed
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