On Friday, November 1, the 2025 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) final rules were released. Both rules take effect January 1, 2025.

Under the MPFS, radiation therapy services will see no additional direct payment cuts, but existing policies will continue to depress payments, underscoring the importance of the Radiation Oncology Case Rate (ROCR) Value Based Payment Program Act. Tell your Member of Congress to support the ROCR Act today by using ASTRO’s grassroots system.

MPFS Takeaways for Radiation Oncology

• MPFS Final Rule Estimated Impact on Radiation Oncology: 0%
• 2025 Final Conversion Factor: $32.3465 (a 2.8% reduction from the 2024 MPFS CF rate update of $33.2875)
• CPT Code 77427, Radiation treatment management 5x, will remain on the Medicare Telehealth List on a provisional basis.

Under HOPPS, overall payment rates will see an increase factor of 2.9%.

Read more about the 2025 MPFS final rule in MPFS summary and the 2025 HOPPS final rule in HOPPS summary.