Medicare fee schedule changes: Q4 2025
Comparing national non-facility payment amounts in the Q4 2025 Physician Fee Schedule release against Q3 2025. Of 7,356 codes payable in both, 0 increased, 0 decreased, and 7,356 were unchanged.
No national payment changes between these two releases.
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Source file: 2025.zip
CMS shipped the Q4 2025 Physician Fee Schedule as the RVU25D release — 2025.zip . Every amount on this page was computed from the member files inside it. CMS reshuffles columns between releases and sometimes re-publishes files in place, so we parse by header name and version every drop — the numbers here stay reproducible. Checksums, download links, and a column-by-column guide to what's inside are on the RVU25D source page.
- ANES2025.csv — Anesthesia conversion factors (ANES) 109 rows
- GPCI2025.csv — Geographic practice cost indices (GPCI) 109 rows
- OPPSCAP_Oct.csv — OPPS site-of-service payment caps 15,260 rows
- PPRRVU2025_Oct.csv — Physician relative value file (PPRRVU) 19,090 rows
Method
Amounts are national non-facility figures (GPCI 1.000, before sequestration), computed from each release's RVUs and conversion factor. Only codes payable in both releases are compared. See how Medicare pays.
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