American College of Radiology details proposed 2027 Medicare imaging pay cuts

The American College of Radiology has published an analysis of the proposed 2027 Medicare Physician Fee Schedule, outlining specific valuation cuts for imaging services. The analysis shows reductions for certain MRI and CT codes, driven by budget neutrality and the proposed 2.26% conversion factor cut. The organization warns these cuts will exacerbate existing access gaps for imaging services. Practices should model the impact on their most commonly billed radiology CPT codes using the ACR's tables to prepare for potential 2027 revenue changes. The final rule will be published in November 2026.