Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci ED Coding & Reimbursement Alert - 2013 Issue 1
RVUs and Medicare Payments for Cardioversion and Related Codes
92960 (Cardioversion, elective, electrical conversion of arrhythmia; external) has a work RVU of 2.25 and a total RVU of 3.63 for a Medicare payment of $123.56 in the facility setting.
92950 (Cardiopulmonary resuscitation [(e.g., in cardiac arrest]) has a work RVU of 4.0 and a total RVU of 5.39 for a Medicare payment of $183.46 in the facility setting.
99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) has a work RVU of 4.50 and a total RVU of 6.38 for a...
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