CMS Proposal Would Cut Payment for Same-Day Injection Visits - Takeaways - MDSpire

CMS Proposal Would Cut Payment for Same-Day Injection Visits

The proposed Physician Fee Schedule for 2027 includes changes affecting intravitreal injections, E/M services, and physician payment.

  • By

  • Jim Gallagher, senior managing editor

  • July 15, 2026

  • 4 min

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  • 1

    The CMS proposed 2027 Physician Fee Schedule includes payment reductions for same-day E/M visits associated with procedures like intravitreal injections.

  • 2

    Under the proposal, same-day E/M services would be reimbursed at 50% of the higher-valued service, which would be paid at 100%.

  • 3

    ASRS CEO Jill Blim criticized the proposal as a major reduction in reimbursement and expressed concern over CMS's request for information on modifier 25.

  • 4

    CMS's proposal includes a decrease in conversion factors for both qualifying and nonqualifying APM participants, reflecting a broader trend of declining reimbursements.

  • 5

    The proposed rule is set to take effect on January 1, 2027, after a public comment period and final rule publication.

Original Source(s)

CMS Proposal Would Cut Payment for Same-Day Injection Visits

  • by Jim Gallagher, senior managing editor

  • July 15, 2026

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