CMS Physician Fee Schedule relative value files, release by release
The quarterly RVU zips (RVU26A, RVU25D, …) carrying every code's RVUs and status indicator, the locality GPCIs, the conversion factor, and the anesthesia conversion factors—the inputs to every Medicare PFS rate on this site.
Jumps straight to that code's rate page.
CMS publishes these files four times a year under codes like RVU26A—"RVU", the last two digits of the calendar year, and a quarter letter (A = January, B = April, C = July, D = October). The January (A) file carries the new year's rates from the final rule; the later quarters carry corrections and newly priced codes. When CMS fixes an error mid-quarter it re-posts the file in place—each version we ingested is preserved below, so historical numbers stay reproducible.
CMS reorganizes its site often and direct file links break. If a download link below stops working, every release remains available from the official CMS PFS relative value files page.
2026 Copy link
October 2026 release (RVU26D)
revised 1× by CMSIn effect October 1 – December 31, 2026 (Q4 2026 on this site).
In effect July 1 – September 30, 2026 (Q3 2026 on this site).
In effect April 1 – June 30, 2026 (Q2 2026 on this site).
In effect January 1 – March 31, 2026 (Q1 2026 on this site).
2025 Copy link
In effect October 1 – December 31, 2025 (Q4 2025 on this site).
In effect July 1 – September 30, 2025 (Q3 2025 on this site).
In effect April 1 – June 30, 2025 (Q2 2025 on this site).
In effect January 1 – March 31, 2025 (Q1 2025 on this site).
2024 Copy link
In effect October 1 – December 31, 2024 (Q4 2024 on this site).
In effect July 1 – September 30, 2024 (Q3 2024 on this site).
In effect April 1 – June 30, 2024 (Q2 2024 on this site).
January 2024 release (RVU24A)
revised 1× by CMSIn effect January 1 – March 31, 2024 (Q1 2024 on this site).
2023 Copy link
In effect October 1 – December 31, 2023 (Q4 2023 on this site).
In effect July 1 – September 30, 2023 (Q3 2023 on this site).
In effect April 1 – June 30, 2023 (Q2 2023 on this site).
In effect January 1 – March 31, 2023 (Q1 2023 on this site).
2022 Copy link
In effect October 1 – December 31, 2022 (Q4 2022 on this site).
In effect July 1 – September 30, 2022 (Q3 2022 on this site).
In effect April 1 – June 30, 2022 (Q2 2022 on this site).
In effect January 1 – March 31, 2022 (Q1 2022 on this site).
2021 Copy link
In effect October 1 – December 31, 2021 (Q4 2021 on this site).
In effect July 1 – September 30, 2021 (Q3 2021 on this site).
In effect April 1 – June 30, 2021 (Q2 2021 on this site).
In effect January 1 – March 31, 2021 (Q1 2021 on this site).
2020 Copy link
In effect October 1 – December 31, 2020 (Q4 2020 on this site).
In effect July 1 – September 30, 2020 (Q3 2020 on this site).
In effect April 1 – June 30, 2020 (Q2 2020 on this site).
In effect January 1 – March 31, 2020 (Q1 2020 on this site).
2019 Copy link
In effect October 1 – December 31, 2019 (Q4 2019 on this site).
In effect July 1 – September 30, 2019 (Q3 2019 on this site).
In effect April 1 – June 30, 2019 (Q2 2019 on this site).
In effect January 1 – March 31, 2019 (Q1 2019 on this site).
2018 Copy link
In effect October 1 – December 31, 2018 (Q4 2018 on this site).
In effect July 1 – September 30, 2018 (Q3 2018 on this site).
In effect April 1 – June 30, 2018 (Q2 2018 on this site).
January 2018 release (RVU18A)
revised 2× by CMSIn effect January 1 – March 31, 2018 (Q1 2018 on this site).
2017 Copy link
In effect October 1 – December 31, 2017 (Q4 2017 on this site).
In effect July 1 – September 30, 2017 (Q3 2017 on this site).
In effect April 1 – June 30, 2017 (Q2 2017 on this site).
In effect January 1 – March 31, 2017 (Q1 2017 on this site).
2016 Copy link
In effect October 1 – December 31, 2016 (Q4 2016 on this site).
In effect July 1 – September 30, 2016 (Q3 2016 on this site).
In effect April 1 – June 30, 2016 (Q2 2016 on this site).
In effect January 1 – March 31, 2016 (Q1 2016 on this site).
2015 Copy link
In effect October 1 – December 31, 2015 (Q4 2015 on this site).
In effect July 1 – September 30, 2015 (Q3 2015 on this site).
In effect April 1 – June 30, 2015 (Q2 2015 on this site).
In effect January 1 – March 31, 2015 (Q1 2015 on this site).
2014 Copy link
In effect October 1 – December 31, 2014 (Q4 2014 on this site).
In effect July 1 – September 30, 2014 (Q3 2014 on this site).
In effect April 1 – June 30, 2014 (Q2 2014 on this site).
2013 Copy link
In effect January 1 – March 31, 2013 (Q1 2013 on this site).
Our methodology documents how every file is parsed, versioned, and verified—the changes pages show the quarter-over-quarter rate movement each release caused.