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Guidewire

SIR advocacy moves Medicare coverage forward for peripheral nerve interventions

SIR advocacy has helped advance Medicare coverage for several peripheral nerve interventions, though some limitations remain. Learn more about the updated coverage policies.
Advocacy Healthcare policy
Guidewire

SIR attended the AMA CPT® Editorial Panel

SIR advanced proposed CPT® codes for several IR services at the AMA CPT® Editorial Panel meeting, with approved Category I codes moving next to the RUC process.
Coding, billing and reimbursement Economics
Guidewire

SIR attended the AMA Relative Value Scale Update Committee

SIR presented five action plans at the AMA RUC meeting, helping inform future Medicare physician payment recommendations. Read more about the latest RUC actions.
Coding, billing and reimbursement Economics
Health Policy Affairs

SIR submits comments on proposed 2027 Medicare Physician Fee Schedule Rule

SIR urged CMS to protect patient access to interventional radiology services by addressing physician payment reductions, modifier-25 cuts, practice expense policies, and MIPS reporting requirements in the proposed 2027 MPFS rule.
Economics Advocacy
Guidewire

Carrier advocacy coverage letter updates underway!

The Carrier Advocacy Workgroup is updating several coverage letters and developing a new resource on adrenal venous sampling (AVS) to reflect the latest evidence and payer policies.
Economics
Guidewire

SIR successfully appeals NCCI edits for lower extremity revascularization (LER)

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.
Advocacy Economics Coding, billing and reimbursement
Health Policy Affairs

SIR MPFS CY 2027 Proposed Rule Summary and impact analysis

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.
Economics Healthcare policy
Health Policy Affairs

SIR summary: Hospital Prospective Payment System Proposed Rule for 2027

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.
Economics
Guidewire

PAD Coalition cheers inclusion of screening language in appropriations bills

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.
Healthcare policy Advocacy
Guidewire

SIR supports bill to keep prior authorization out of Medicare Advantage

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.
Advocacy Healthcare policy
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