CMS's proposed 2027 Physician Fee Schedule published in the Federal Register this morning — 91 FR 43842, July 16. The number that will circulate by Friday: conversion factors are proposed down again, because 2026's one-year +2.50% statutory boost expires and the replacement updates (+0.75% / +0.25%) don't cover the gap.
The number that won't circulate: CMS's own specialty impact estimates in the same rule put the combined effect for radiology at +2% — with nuclear medicine at +2%, interventional radiology at +3%, and radiation oncology at +3%, per the ACR's initial summary.
Both numbers are in the same proposed rule. Neither is wrong.
The conversion factor is the per-unit price; the impact table is the whole basket — RVU revisions, practice-expense shifts, your code mix. Which number describes your 2027 depends on what your practice actually bills. A general read is not a substitute for running your own top codes against the proposed values.
A proposal to pay separately billed same-day E/M visits alongside global procedures at 50% · three diagnostic radiology measures proposed as QPP core measures (exposure dose indices, patient exposure optimization, follow-up imaging) · RUC-recommended values accepted for FNA, MRA head and neck, and CT upper extremity.
is the comment deadline — a 60-day window to check the math on your own code mix while the numbers are still proposals.
Sources (primary, verified today): Federal Register, 91 FR 43842 (pub. July 16, 2026; comments close Sept 14, 2026) · CMS fact sheet CMS-1848-P · specialty impact figures via the ACR initial summary (July 15, 2026). This is a proposed rule — every figure can move before final; specialty impacts are CMS estimates across all practice settings and individual results vary with code mix.
Two numbers came out of this morning's proposed 2027 Medicare fee schedule. Only one of them will make the rounds. The one you'll hear: conversion factors down again — −1.68% for most physicians, −1.19% for qualifying APM participants — because 2026's one-year +2.50% boost expires. The one you won't: CMS's own impact tables in the same rule estimate the combined effect for radiology at +2%. Nuclear medicine +2%. Interventional +3%. Radiation oncology +3%. Both numbers are real. The conversion factor is the per-unit price; the impact table is the whole basket — RVU revisions, practice expense, your actual code mix. Which one describes your 2027 depends on what you bill. Published in this morning's Federal Register (91 FR 43842). Comments close September 14 — 60 days to run your own top codes against the proposed values while they're still proposals. Read the source, not the coverage.
Use the MRP Personal Design System (Signature). Create a 1080x1350 animated data piece titled "Two Numbers, One Rule." Bone field (#F4F1EC), Ink type (#141414), Coral Bright (#FF6A4D) reserved for the two big display numbers only, Coral Deep (#D9401F) for the kicker and small tags. Cormorant for numbers and headline, Manrope Light for captions. Tall, airy, left-aligned, generous whitespace — stationery that learned to move. Sequence (about 12 seconds, calm and editorial — no flash): 1. Open on a Kicker line, top-left, letter-spaced uppercase in Coral Deep: "PUBLISHED THIS MORNING · FEDERAL REGISTER" — types on quickly and settles. 2. A very large Cormorant "−1.68%" counts down from 0.00% in Coral Bright, left-aligned, over 1.5s with an ease-out. A Manrope Light caption fades in beneath: "proposed 2027 conversion factor, most physicians." 3. Beat. A thin ink hairline draws across the frame. Below it, "+2%" counts up in Coral Bright, same scale, caption: "CMS's own estimated impact — radiology." 4. One italic Cormorant line fades in: "Both numbers are in the same rule. Neither is wrong." 5. End card: everything clears but a single line — "Comments close Sept 14" in Cormorant with a hairline shrinking beneath it like a wick; footer in Manrope Light: "91 FR 43842 · July 16, 2026." Close with the SignatureMark (Italiana "Meschelle Peterson" + code63labs handle), bottom-left. Motion language: slow eases, opacity and position only, no bounces, no particles. The restraint is the aesthetic.
FIRST SOURCE · one verified original-source finding, composed for one reader · this edition: independent imaging and radiology practices