CMS issued the CY 2022 Medicare Physician Fee Schedule (PFS) final rule that updates payment policies, payment rates, and other provisions for services. This is a summary of key provisions, effective on or after January 1, 2022:

• Revises telehealth services under the Consolidated Appropriations Act, 2021; allows use of audio-only communications technology when furnishing mental health services in certain circumstances.
• Finalizes recent changes to Evaluation and Management (E/M) visit codes, such as policies for split (or shared) E/M visits, critical care services, and services furnished by teaching physicians.
• Modifies payment for therapy services furnished in whole or in part by a Physical Therapist Assistant or Occupational Therapy Assistant.
• Updates a payment regulation for Medical Nutrition Therapy services.
• Finalizes considerations for vaccine administration services.

Downloads provided by CMS:

• CY 2021 Analytic Crosswalk to CY 2022 (Final Rule) (ZIP)
• CY 2020 Utilization Data Crosswalk to CY 2022 (Final Rule) (ZIP)
• CY 2022 PFS Final Rule Addenda (ZIP)
• CY 2022 PFS Final Rule Anticipated Specialty Assignment for Low Volume Services (ZIP)
• CY 2022 PFS Final Rule Calculation of PE RVUs under Methodology for Selected Codes (ZIP)
• CY 2022 PFS Final Rule Clinical Labor Activity Codes Crosswalk (ZIP)
• CY 2022 PFS Final Rule Codes Affected by Alternative Methodology for Indirect PE (ZIP)
• CY 2022 PFS Final Rule Codes Subject to Phase-In (ZIP)
• CY 2022 PFS Final Rule CPT Codes Subject to 90 Percent Usage Rate (ZIP)
• CY 2022 PFS Final Rule Direct PE Inputs (ZIP)
• CY 2022 PFS Final Rule Impact on Payment for Selected Procedures (ZIP)
• CY 2022 PFS Final Rule Indirect Practice Cost Indices (ZIP)
• CY 2022 PFS Final Rule Invasive Cardiology Services Outside of Surgical Range (ZIP)
• CY 2022 PFS Final Rule List of Designated Care Management Services (ZIP)
• CY 2022 PFS Final Rule List of Telehealth Services (ZIP)
• CY 2022 PFS Final Rule Malpractice Risk Factors and Premium Amounts by Specialty (ZIP)
• CY 2022 PFS Final Rule Market-Based Supply and Equipment Pricing Update (ZIP)
• CY 2022 PFS Final Rule Multiple Procedure Payment Reduction Files (ZIP)
• CY 2022 PFS Final Rule Outpatient Cap List (ZIP)
• CY 2022 PFS Final Rule Payment Rates for OTP (ZIP)
• CY 2022 PFS Final Rule PE/HR (ZIP)
• CY 2022 PFS Final Rule Physician Time (ZIP)
• CY 2022 PFS Final Rule Placeholder Codes for Final CPT (ZIP)
• CY 2022 PFS Final Rule Potentially Misvalued Code Nominations (ZIP)
• CY 2022 PFS Final Rule Sample PE Worksheet (ZIP)
• CY 2022 PFS Final Rule Specialty Impacts by Practitioner 2020 Claims (ZIP)