2027 Physician Fee Schedule: The Cuts Survived

CMS finalized the CY2027 Physician Fee Schedule with a conversion factor of $32.63 for non-qualifying participants and $32.95 for qualifying APM participants – decreases of 2.31% and 1.83% from 2026. Congress’s 2.5% bump for 2026 expires, and nothing replaced it.

CMS did listen on the margins: the proposed 50% same-day E/M cut became a 20% reduction limited to 0-day global procedures, remote monitoring restrictions were delayed, and the E/M complexity add-on (G2211) becomes a payment-boosting modifier. But the practice expense methodology overhaul was finalized as proposed, and absent congressional action, physician payment drops January 1.

Worth five minutes: ASCRS’s detailed summary and the full rule text. If your practice has not modeled the 2027 conversion factor against your payer mix, now is the time.