AMA Releases Summary and Analysis of 2026 Medicare Physician Fee Schedule Final Rule

November 20, 2025

On November 14, the AMA released a comprehensive Summary and Analysis of the 2026 Medicare Physician Payment Schedule and Quality Payment Program Final Rule.  

Items discussed include: 

  • CY 2026 Medicare Conversion Factors 

  • Practice Expense Relative Value Units 

  • Potentially Misvalued Services 

  • Telehealth  

  • Valuation of Specific Codes 

  • Efficiency Adjustment 

  • E/M Visit Complexity Add-On Code (G2211) 

  • Enhanced Care Management 

  • Policies to Improve Care for Chronic Illness and Behavioral Health Needs 

  • Payment of Skin Substitutes 

  • Global Surgery Payment Accuracy 

  • Professional Liability RVUs 

  • Geographic Practice Cost Indices (GPCIs) 

  • Medicare Diabetes Prevention Program (MDPP) 

  • Medicare Shared Savings Program (MSSP) 

  • Quality Payment Program Updates and Policies 

For more information, please contact Adrian Uphoff, manager of health policy and regulatory affairs.  

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