
The American College of Radiology (ACR) is continuing to pressure members of Congress to try to stop changes in payment levels for evaluation and management (E/M) services that have been proposed in Medicare's 2020 budget.
The U.S. Centers for Medicare and Medicaid Services has proposed a change to payments for E/M codes in its proposed rule for the Medicare Physician Fee Schedule (MPFS) for the 2020 calendar year. ACR believes the changes could cut radiology reimbursement for E/M services by 9%, or $450 million a year. The change would amount to $5.6 billion over 10 years, according to the group.
ACR notes that while the change would benefit some physicians, it would hurt those who rarely bill for E/M services, such as radiologists. The group believes that Congress should work to increase E/M payments within the MPFS and, if needed, waive the budget neutrality requirement to make sure that a more equitable solution can be reached that doesn't penalize any specific physician specialty.
ACR noted that legislators have received almost 4,500 emails and more than 450 calls from its members since the group's outreach campaign began last week.


















![Axial images from unenhanced calcium score cardiac CT (left) and curved planar reformation images from CT angiography (right) show that higher long-term exposure to air pollution is associated with greater coronary artery calcium and more obstructive coronary artery disease (CAD). Top row: Images in a 68-year-old male patient with higher 10-year mean ambient air pollution exposure (7.9 μg/m3 for particulate matter measuring ≤2.5 μm in diameter [PM2.5] and 17.4 parts per billion [ppb] for NO2) with extensive CAD (coronary artery calcium score [CACS] >1,000 and obstructive CAD [≥70% diameter stenosis]). Bottom row: Images in a 57-year-old female patient with lower 10-year mean ambient air pollution exposure (6.3 μg/m3 for PM2.5 and 4.6 ppb for NO2) with no CAD (CACS = 0 and no obstructive stenosis).](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/06/hanneman.r6SMLzkezo.png?auto=format%2Ccompress&fit=crop&h=112&q=70&w=112)
