2027 physician fee-schedule database instructions
Published November 4, 2026 · Coverage October 25–31, 2026, Pacific · Medium priority
On October 26, 2026, CMS issued Transmittal 14026 (CR 14618), rescinding and replacing R13960 and consolidating contractor instructions for the January, April, July and October 2027 Medicare Physician Fee Schedule database releases. Contractors must be prepared to retrieve up to three replacement payment datasets per release if corrections are required. For the April, July and October updates, contractors must give providers 30 days’ notice before implementing changes and adjust claims brought to their attention, without searching files to retract payment or retroactively pay already paid claims. This is not a provider filing deadline and does not establish that any replacement files were issued.

Suggested owner and action: Revenue-cycle and contracting teams can track contractor notices and review any corrections relevant to their claims, following the applicable contractor process for claims brought to its attention.
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