Medicare Physician Fee Schedule Rule

The Centers for Medicare & Medicaid Services (CMS) reimburses physicians for care furnished to Medicare Part B beneficiaries based on the Medicare Physician Fee Schedule (PFS), which lists the payment rates for more than 12,600 unique covered services. The PFS contains the resource costs associated with the physician work, practice expense and malpractice insurance for the current procedural terminology (CPT) and Healthcare Common procedure Coding System (HCPCS) codes that represent office visits, surgical procedures, anesthesia services, diagnostic tests, and a range of other therapies. The rule also addresses Medicare billing requirements, quality standards, program integrity, and other issues impacting physician practices.

CMS updates the PFS annually, and publishes a Proposed Rule to allow for public comment before finalizing its policies. Since a large portion of surgeons’ performance and reimbursement is measured and paid for under the PFS, the American College of Surgeons (ACS) closely reviews and provides feedback on the rule to the Agency each year.

ACS Comment Letters

• CY 2025 MPFS Proposed Rule—ACS Comment Letter
  September 9, 2024
• CY 2024 MPFS Proposed Rule—ACS Comment Letter
  September 8, 2023
• CY 2023 MPFS Proposed Rule—ACS Comment Letter
  September 6, 2022
• CY 2022 MPFS Proposed Rule—ACS Comment Letter
  September 13, 2021
• CY 2021 ACS QPP Proposed Rule—Quality Provisions
  September 30, 2020
• CY 2021 ACS MPFS Proposed Rule—Payment Provisions
  September 22, 2020