Cardiology's 2027 Medicare pay update: plus 1 percent on paper, cuts underneath

Plus: A proposed 50 percent cut to same-day office visits would hit every cardiology practice. The day's rules, money, and enforcement, sourced and tiered below.

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Plus: A proposed 50 percent cut to same-day office visits would hit every cardiology practice. The day's rules, money, and enforcement, sourced and tiered below.

American Health Intel
Rules · Money · Medicine · Decoded daily
The Service Line Tuesday, August 4, 2026
Cardiology's 2027 Medicare pay update: plus 1 percent on paper, cuts underneath
Plus: A proposed 50 percent cut to same-day office visits would hit every cardiology practice. The day's rules, money, and enforcement, sourced and tiered below.
Rule  Confidence: High
Cardiology's proposed 2027 Medicare pay update nets about 1 percent overall, but a 2.5 percent efficiency adjustment and cuts to tricuspid valve, coronary IVUS, and left atrial appendage closure sit underneath the headline.
The conversion factor for clinicians outside an advanced APM would fall from $33.4009 to $32.8409. The ACC is pushing to repeal the efficiency adjustment through H.R. 7520.
Why it matters
The 2027 cardiology pay picture is a modest headline gain over a broad efficiency cut, so your exposure depends entirely on service mix. Watch the final rule this fall.
Sources: Acc
Rule  Confidence: High
The 2027 proposed rule would halve an E/M visit billed the same day as a 0, 10, or 90 day global procedure by the same practice, hitting the visit-plus-device-check and visit-plus-echo workflows.
The same rule proposes four new G codes to replace the 17 existing remote physiologic and therapeutic monitoring codes, reshaping cardiology's fastest-growing recurring-revenue line.
Why it matters
A proposed cut to same-day office visits would touch nearly every cardiology practice that pairs a visit with a device check or echo. Watch whether it survives to the final rule.
Sources: Acc
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A defibrillator's facility fee ranged more than five-fold across insurers Read
411
Records
$31.7B
Enforcement
18
Deadlines
120
Rules
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