CMS Seeks Public Comment on Potential CPT Coding System Reforms in 2027 Fee Schedule Rule
CMS published a Request for Information on July 16, 2026, soliciting stakeholder feedback on potential reforms to the American Medical Association's Current Procedural Terminology (CPT) coding system. The RFI appears in the Calendar Year 2027 Physician Fee Schedule Proposed Rule (CMS-1848-P). Comments are due 60 days after Federal Register publication, typically in mid-September 2026. The inquiry signals CMS consideration of structural changes to how physician and outpatient services are coded and reimbursed across Medicare and Medicaid programs.
Changes to CPT coding methodology could affect Medicaid managed care organizations' provider reimbursement structures, encounter data reporting requirements, and actuarial rate-setting processes if CMS adopts alternative coding standards that states incorporate into fee-for-service and managed care payment methodologies.
Managed Care · Finance
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