CMS Physician Fee Schedule

The AASM participates in the Notice of Proposed Rulemaking (NPRM) process and creates educational resources for members participating in the Medicare Program with the Centers for Medicare & Medicaid Services. General information on the Medicare program can be found on the CMS website here.

2023 Medicare Physician Fee Schedule Proposed Rule

On July 7, 2022, the Centers for Medicare & Medicaid Services (CMS) announced the release of the proposed rule citing potential revisions to payment policies under the Medicare physician fee schedule and other Part B payment policies.

2022 Medicare Physician Fee Schedule Final Rule

On Nov. 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released the Medicare program final rule, which details revisions to payment policies included in the physician fee schedule and Quality Payment Program (QPP) for 2022.

UPDATE: On December 16, 2021, CMS announced an updated 2022 physician fee schedule conversion factor of $34.6062. CMS implemented this change in response to the Protecting Medicare and American Farmers from Sequester Cuts Act, which was signed into law by President Biden on Dec. 10, 2021. Additional details regarding Congress’s response to the Medicare payment crisis are summarized here. The AASM national payment and RVU comparison documents have been updated and are accessible via the links below.

2022 Medicare Physician Fee Schedule Proposed Rule

On July 13, 2021, the Centers for Medicare & Medicaid Services (CMS) announced the release of the proposed rule citing potential revisions to payment policies under the Medicare physician fee schedule and other Part B payment policies.

2021 Medicare Physician Fee Schedule Final Rule

On Dec. 1, 2020, CMS released the final rule that includes final changes to the 2021 Medicare physician fee schedule (PFS) and final policies for the Quality Payment Program (QPP). On Dec. 27, 2020, the Consolidated Appropriations Act was signed into law, offsetting almost all of the 10.2% budget neutrality adjustments that were to have taken effect on Jan. 1, 2021.

Revisions in payment and RVUs are detailed in the revised documents below:

2021 Medicare Physician Fee Schedule Proposed Rule

On Aug. 3, 2020, CMS announced the release of the proposed rule citing potential revisions to payment policies under the Medicare physician fee schedule and other Part B payment policies.

2020 Medicare Physician Fee Schedule Final Rule

On Nov. 1, 2019, CMS released the 2020 Medicare physician fee schedule final rule. AASM staff analyzed the final rule to determine whether CMS finalized proposals that would impact the field of sleep medicine.

AASM members can submit questions about the Final Rule to coding@aasm.org.

2020 Medicare Physician Fee Schedule Proposed Rule

On July 29, 2019, CMS released the 2020 proposed rule summarizing proposed revisions to the physician fee schedule and Quality Payment Program.

2019 Medicare Physician Fee Schedule and Quality Payment Program Final Rule

CMS issued the 2019 Medicare physician fee schedule and Quality Payment Program final rule on Nov. 1, 2018. The final rule finalizes revisions to policies and payment rates for services provided and billed during the 2019 calendar year. View the complete final rule and other supplemental Medicare resources:

2019 Medicare Physician Fee Schedule and Quality Payment Program Proposed Rule

On July 12 CMS released the proposed rule that addresses changes to the 2019 Medicare physician fee schedule as well as proposed policies for Year 3 of the Quality Payment Program. This proposed rule is intended to highlight the Patients over Paperwork initiative, making documentation and reporting less burdensome for physicians and other qualified healthcare providers. Access the 2019 proposed rule and other helpful resources below.

Search the Medicare Physician Fee Schedule

Go to the CMS website to search the Medicare physician fee schedule. The MPFS search page is an easily accessible way to find payment information for services. Payment can be searched by locality to find the variation in reimbursement from region to region. Additionally, searches can be performed with or without modifiers to help determine the exact reimbursement for a service performed.