In practice

SIR and partner societies successfully urged CMS to revise billing edits for new LER codes, allowing appropriate bilateral reporting and retroactive reimbursement updates. Read about the coding changes and their implementation timeline.

Review SIR’s analysis of the CY 2027 Medicare Physician Fee Schedule proposed rule, which includes a projected positive payment impact for interventional radiology and updates to key Medicare payment policies.

On July 2, 2026, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Hospital Outpatient Prospective Payment System (HOPPS) for calendar year (CY) 2027.

SIR joined the PAD Coalition in thanking the House Appropriations Committee for including report language on peripheral artery disease education, screening and amputation prevention in the FY 2027 Labor-HHS-Education appropriations report.

The Improving Seniors' Timely Access to Care Act reached 290 House cosponsors, allowing a motion to place the bipartisan Medicare Advantage prior authorization reform bill on the House consensus calendar for a floor vote.

CMS released the 2027 ICD-10-CM diagnosis code files, including 190 new, 30 deleted and 4 revised codes that will apply to patient encounters beginning Oct. 1, 2026.

Julie C. Bulman, MD, and Alexandra Fairchild, MD, FSIR, were appointed to the AMA CPT® Advisory Committee, where they will represent interventional radiology and help shape the CPT® code development process.

The House Appropriations Committee approved a proposal to defund CMS' WISeR prior authorization model and prohibit prior authorization in traditional Medicare following widespread concerns that the pilot delayed patient care and hindered access to medically necessary services.

SIR launched a member survey to collect real-world experiences with the WISeR Model and strengthen advocacy efforts to protect patient access to appropriate, life-improving care.

SIR and American College of Radiology (ACR) submitted joint comments to CMS contractors urging the inclusion of image-guided preoperative abdominal wall botulinum toxin (BTX) injection as a covered indication to facilitate large ventral hernia repair.