CMS finalizes the 2027 Medicare payment rules

CMS released the 2027 physician fee schedule and hospital outpatient final rules on November 4, 2026. Both take effect January 1, 2027.

• The conversion factor falls to $32.63, or $32.95 for qualifying APM participants.
• Radiation delivery codes 77402, 77407 and 77412 go up; planning and management codes go down.
• In the hospital, 77407 moves into the same payment group as 77412.
• Proton delivery codes get national fee schedule rates for the first time.
• A same-day visit billed with modifier 25 and a 0-day global procedure is paid at 80 percent, not the 50 percent proposed.

Read the 2027 Medicare final rules for radiation oncology.