Work, practice, expense and liability relative value units (RVUs) are updated annually through Medicare Physician Fee Schedule rulemaking. In response to the recently released 2026 Medicare PFS final rule, the ACC has developed a PFS calculator so that clinicians and administrators can estimate the potential impact of changes to their practices. The tool also includes new codes and/or values for PCI, lower extremity revascularization, left atrial appendage occlusion and more.

Of note, many services see impacts due to the broad policy updates, including a 2.5% efficiency adjustment reduction and changes to the indirect cost payment formula reducing reimbursements for many services provided in the hospital setting. Many facility-based services, including PCI, valve therapies, ablation, implantable devices and others, see significant total RVU reductions from these policies.

Savings from these provisions contribute to a fee schedule conversion factor increase, resulting in some services seeing increases in reimbursement for 2026.

Download the 2026 Medicare PFS final rule calculator to see how these changes will impact your practice in the year ahead.

For more information about the regulatory process and timeline, access ACC's PFS Roadmap, which details how the College reviews and addresses PFS proposals and develops a formal policy position.

Keywords: Fee Schedules, ACC Advocacy, Physicians, Medicare