The Centers for Medicare & Medicaid Services (CMS) released its 2026 Physician Fee Schedule (PFS) final rule, introducing targeted changes to evaluation and management (E/M) coding, telehealth flexibility, preventive care, and CPT guidelines for monitoring and critical care. These adjustments aim to enhance access, reduce administrative burdens, and prioritize prevention. Below is a summary of the principal revisions effective January 1, 2026.
E/M Coding: Expanded Use of Add-On Code G2211
HCPCS code G2211, which captures visit complexity for ongoing care of a single serious or complex condition, or as the focal point for all needed health services, gains broader applicability:
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