2026 conversion factor $33.4009 ($33.5675 for qualifying APM participants) – updated 11/4/2025 Payment policies in the 2026 Physician Fee Schedule Conversion Factor For the first time, there are two conversion factors for services paid under the Physician Fee Schedule. This is a result of a law passed in 2015. The Medicare Access and CHIP Re-authorization […]
CMS’s Physician Fee Schedule Final Rule
Recorded December 11th, 2025
1 CEU expires 12/30/26
Guest presenter Claire Ernst of Hooper, Lundy & Bookman, P.C.
CMS released the 2026 Final Rule right on time, Friday, Halloween, 4:30 pm. They love a holiday rule release and we love being up-to-date with CMS policy. The agency finalized many of its proposals: variable conversion factor, applying an “efficiency adjustment” to many non-time-based codes, lowered payments for skin substitutes, telehealth updates (but not the updates we were hoping for).
2026 CMS Proposed Physician Rule | Webinar
Recorded August 14th, 2025
1 CEU expires 7/30/26
CMS released its proposed policy changes for physician practices in mid-July this year, with the usual 60-day comment period. Our webinar will tell you what’s in it.
Coding for Telehealth
Included in this article: Telehealth and the Government Shutdown – October 1, 2025 Telehealth Codes for 2025 Telehealth Update – March 19, 2025 Place of Service Update from MLN Matters CPT® Changes in 2025 The Future of Telehealth and Virtual Care CMS Telehealth FAQ Calendar Year 2025 Continuing resolution passed Nov. 2025 Congress passed a […]
Select HCPCS codes from 2025 and 2024 | Webinar
Recorded March 20th, 2025
1 CEU expires 3/30/26
CMS continues to develop new HCPCS codes to describe services that promote their healthcare agenda, and are not in the CPT® code set. This webinar will address a select few of the newer services from this year and last year.
Advanced Primary Care Management Codes | Webinar
Recorded January 16th, 2025
1 CEU expires 1/30/26
CMS developed three HCPCS codes effective 1-1-2025 to pay primary care practices to manage the care of patients over time. CMS continues to believe that practices incur significant expense for the care that happens in between office visits.
HCPCS code G2211
Table of Contents G2211 FAQ Changes to G2211 in 2025 Not all visits Clinician’s relationship with the patient, type of problem Acute condition, seen in primary care CMS expected frequency Q&A from CodingIntel’s August 17, 2023, CMS Proposed Rule Webinar G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve […]
What’s New in the Proposed Physician Fee Schedule Rule
This article describes the proposed HCPCS codes in the PFS with the proposed payment and highlights for each code set. Coding highlights from the 2025 PFS proposed rule Medicare releases proposed policy changes for medical services for the next year each July, accepts comments on the proposals for 60 days, and sends out the final […]