Position Statement

Summary of the Proposed 2023 Medicare Physician Fee Schedule

  • AANS/CNS Washington Office
  • Reimbursement and Practice Management


On July 7, 2022, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 Revisions to Payment Policies under the Medicare Physician Fee Schedule (MPFS) and Other Changes to Part B Payment Policies [CMS-1770-P] Proposed Rule. CMS shows the impact of the provisions of the rule to be a zero percent change for neurosurgery. However, CMS proposes a CY 2023 conversion factor (CF) of 33.0775, which is a 4.42 percent (rounded to 4.5%) reduction relative to the CY 2022 CF of 34.6062, which comes in addition to the pending 4% pay-as-you-go cut that Congress postponed last year and the resumption of the 2% annual Medicare payment sequester.

Reimbursement Issues

CMS Review of RUC-passed Neurosurgery Codes
Below is a list of new codes presented to the AMA/Specialty Society RVS Update Committee (RUC) by the AANS and the CNS showing the RUC-passed work relative values (wRVUs) and, in many cases, the lower CMS proposed wRVUs. Neurosurgery and the AMA RUC will dispute these changes in our comment letters.

Click here to view the full Summary of the Proposed 2023 Medicare Physician Fee Schedule.