The American College of Gastroenterology (ACG) is sounding the alarm: proposed changes to the 2026 Medicare Physician Fee Schedule could shake up reimbursement models for gastroenterologists—especially those performing procedures in ASCs and hospital outpatient departments.
CMS is planning:
- A –2.5% “efficiency adjustment” to work RVUs for non-time-based services
- A practice expense overhaul that would drastically reduce payments for facility-based services
📉 The Impact?
- Endoscopies in ASCs/HOPDs face an average 8% cut in physician payment
- Office-based endoscopy? It may see a 16% revenue boost
- Some E/M codes will shift as well, with 9% average cuts for facility settings and 8% gains in offices