This page addresses follow-up questions and additional information pertinent to our webinar
CMS PFS Final Rule 2026: What You Need to Know.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: Are there new conversion factors for anesthesiologists in 2026?
A: Yes, the conversion factor amounts are different – $20.60 for QP and $20.50 for NQPs. In 2025, it was $20.32.
Q: What will all these changes, including the 2026 work RVUs, the site differentials and the conversion factors mean to physicians overall?
A: The effect of these changes for 2026 will depend on the type of provider you are and where you practice. For example, the AMA estimates it may be as much as a -7% in reimbursement for those based in facility settings and +4% for those providers in non-facility settings.
Q: If code G0136 is going away for 2026, can providers still get credit for the work they do in relation to SDOH affecting patient care?
A: At the moment, providers can get credit using the 2021 E/M guidelines via the ‘risk’ element if the documentation supports that SDOH is significantly limiting the diagnosis or treatment of the patient.
Looking for additional information on this topic?
Meet the Presenter: Carol Paton, MSc, PG Cert., CPC, CPMA
Carol brings over 20 years of industry experience to her role as a Senior Coding Educator at Haugen Consulting Group. With a background in nursing, Carol brings a unique perspective to coding education, allowing her to communicate effectively with both coders and providers to ensure a high-quality learning experience. A proven self-starter and valuable team member, Carol excels at motivating and developing others while building positive relationships across teams and departments. Her career spans several large specialty health systems, where she has served as a coding auditor and educator, delivering targeted education across various service lines.
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