Impact on CY 2027 Payment for Selected Procedures																	
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility											
			CY 2026 2	CY 2027 3	% Change	CY 2026 2	CY 2027 3	% Change									
11721		Debride nail 6 or more	$21.38 	$21.02 	-2%	$45.09 	$45.32 	1%									
17000		Destruct premalg lesion	$47.76 	$45.32 	-5%	$66.47 	$62.73 	-6%									
27130		Total hip arthroplasty	"$1,162.02 "	$925.46 	-20%	NA	NA	NA									
27244		Treat thigh fracture	"$1,121.27 "	"$1,077.84 "	-4%	NA	NA	NA									
27447		Total knee arthroplasty	"$1,159.35 "	$922.17 	-20%	NA	NA	NA									
33533		Cabg arterial single	"$1,757.89 "	"$1,720.21 "	-2%	NA	NA	NA									
35301		Rechanneling of artery	"$1,025.74 "	"$1,010.19 "	-2%	NA	NA	NA									
43239		Egd biopsy single/multiple	$123.58 	$119.87 	-3%	$418.85 	$395.40 	-6%									
66821		After cataract laser surgery	$275.22 	$263.38 	-4%	$335.35 	$319.21 	-5%									
66984		Xcapsl ctrc rmvl w/o ecp	$462.60 	$444.34 	-4%	NA	NA	NA									
67210		Treatment of retinal lesion	$428.20 	$411.17 	-4%	$517.38 	$494.26 	-5%									
77427		Radiation tx management x5	$195.40 	$188.18 	-4%	$195.40 	$188.18 	-4%									
88305	26	Tissue exam by pathologist	$35.07 	$34.48 	-2%	$35.07 	$34.48 	-2%									
90471		Immunization admin	NA	NA	NA	$22.04 	$22.66 	3%									
90935		Hemodialysis one evaluation	$61.46 	$60.10 	-2%	NA	NA	NA									
92012		Eye exam establish patient	$41.42 	$40.07 	-3%	$90.52 	$86.04 	-5%									
92014		Eye exam&tx estab pt 1/>vst	$62.13 	$61.08 	-2%	$127.26 	$121.51 	-5%									
93000		Electrocardiogram complete	NA	NA	NA	$15.36 	$15.11 	-2%									
93010		Electrocardiogram report	$8.35 	$8.21 	-2%	$8.35 	$8.21 	-2%									
93015		Cardiovascular stress test	NA	NA	NA	$73.48 	$72.91 	-1%									
93307	26	Tte w/o doppler complete	$43.09 	$42.36 	-2%	$43.09 	$42.36 	-2%									
93458	26	L hrt artery/ventricle angio	$287.25 	$282.43 	-2%	$287.25 	$282.43 	-2%									
98941		Chiropract manj 3-4 regions	$28.06 	$27.59 	-2%	$38.41 	$38.42 	0%									
99203		Office o/p new low 30-44 min	$71.48 	$69.62 	-3%	$117.57 	$114.94 	-2%									
99213		Office o/p est low 20-29 min	$57.45 	$55.50 	-3%	$95.19 	$93.27 	-2%									
99214		Office o/p est mod 30-39 min	$84.50 	$82.76 	-2%	$135.61 	$132.68 	-2%									
99222		1st hosp ip/obs moderate 55	$116.90 	$113.96 	-3%	NA	NA	NA									
99223		1st hosp ip/obs high 75	$156.32 	$152.05 	-3%	NA	NA	NA									
99231		Sbsq hosp ip/obs sf/low 25	$44.09 	$43.35 	-2%	NA	NA	NA									
99232		Sbsq hosp ip/obs moderate 35	$70.48 	$68.97 	-2%	NA	NA	NA									
99233		Sbsq hosp ip/obs high 50	$106.88 	$103.78 	-3%	NA	NA	NA									
99236		Hosp ip/obs same date hi 85	$189.72 	$184.24 	-3%	NA	NA	NA									
99239		Hosp ip/obs dschrg mgmt >30	$106.55 	$102.79 	-4%	NA	NA	NA									
99283		Emergency dept visit low mdm	$69.47 	$68.31 	-2%	NA	NA	NA									
99284		Emergency dept visit mod mdm	$118.24 	$116.59 	-1%	NA	NA	NA									
99291		Critical care first hour	$199.07 	$193.76 	-3%	$308.96 	$304.11 	-2%									
99292		Critical care addl 30 min	$100.20 	$97.54 	-3%	$133.94 	$129.39 	-3%									
99348		Home/res vst est low mdm 30	NA	NA	NA	$78.83 	$79.15 	0%									
99350		Home/res vst est high mdm 60	NA	NA	NA	$193.06 	$187.19 	-3%									
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA									
																	
1 CPT codes and descriptions are copyright 2026 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.																	
2 Payments based on the 1/1/2026 - 12/31/2026 Non-Qualifying APM conversion factor of 33.4009.																	
"3 Payments based on the proposed Non-Qualifying APM 2027 conversion factor of 32.8409, which includes the budget neutrality adjustment."																	
