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.