On July 14, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Physician Fee Schedule (MPFS) for Calendar Year (CY) 2027. The rule proposes a decrease in the conversion factor (CF) for both participants in an advanced payment model (APM) and for those not participating.

  • Qualifying APM conversion factor, a decrease of $0.40 (-1.19%) from the CY 2026 CF to equal $33.1693.
  • Non-qualifying APM conversion factor, a decrease of $0.56 (-1.68%) from the CY 2026 CF to equal $32.8409.

CMS estimates a positive overall payment impact for interventional radiology, though the effect varies across facility and nonfacility settings.

  • Total RVU impact = 3%
  • Nonfacility RVU impact = 5%
  • Facility RVU impact = 1%


Find the SIR summary and impact analysis, including information about the efficiency adjustment, the differential adjustment, practice expense methodology changes and more on the SIR website.