--- title: CMS Releases Proposed Physician Fee Schedule Rule for CY 2019 description: This major proposed rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. image: https://hiacode.com/hubfs/Imported_Blog_Media/iStock-835833976-3.jpg --- # CMS Releases Proposed Physician Fee Schedule Rule for CY 2019 ![HIAcode](https://hiacode.com/hubfs/Logos/HIA_RGB_PrimaryLogo_Icon%20(1)_Artboard%201.png) [HIAcode](https://hiacode.com/blog/author/hiacode) Jul 16, 2018 [Industry News](https://hiacode.com/blog/tag/industry-news) ![](https://hiacode.com/hubfs/Imported_Blog_Media/iStock-835833976-3.jpg) - Share on: - [![](https://hiacode.com/hubfs/Facebook%20svg.svg)](http://www.facebook.com/share.php?u=https://hiacode.com/blog/education/cms-releases-proposed-physician-fee-schedule-rule-for-cy-2019) - [![](https://hiacode.com/hs-fs/hubfs/twitter.png?width=32&height=32&name=twitter.png)](https://twitter.com/intent/tweet?text=I+found+this+interesting+blog+post&url=https://hiacode.com/blog/education/cms-releases-proposed-physician-fee-schedule-rule-for-cy-2019) - [![](https://hiacode.com/hubfs/LinkedIn%20svg.svg)](http://www.linkedin.com/shareArticle?mini=true&url=https://hiacode.com/blog/education/cms-releases-proposed-physician-fee-schedule-rule-for-cy-2019) - [![](https://hiacode.com/hubfs/mdi_email.svg)](mailto:?subject=Check%20out%20https://hiacode.com/blog/education/cms-releases-proposed-physician-fee-schedule-rule-for-cy-2019%20&body=Check%20out%20https://hiacode.com/blog/education/cms-releases-proposed-physician-fee-schedule-rule-for-cy-2019&media=https://20824215.fs1.hubspotusercontent-na1.net/hubfs/20824215/Imported_Blog_Media/iStock-835833976-3.jpg) - ![](https://hiacode.com/hubfs/entypo_link.svg) copied ![Patricia Maccariella-Hafey, RHIA, CDIP, CCS, CCS-P, CIRCC has over 35 years expertise in the areas of ICD-9-CM, CPT, DRG/APC validation Professional Fee E&M coding, Interventional Radiology, and Facility E&M coding. Patricia is currently Director of Education a healthcare consulting firm specializing in coding compliance review, education and contract coding services.](https://hiacode.com/hs-fs/hubfs/Imported_Blog_Media/Pat-2-e1494921947277-May-12-2022-06-55-43-92-PM.png?width=170&height=170&name=Pat-2-e1494921947277-May-12-2022-06-55-43-92-PM.png) ![Patricia Maccariella-Hafey, RHIA, CDIP, CCS, CCS-P, CIRCC has over 35 years expertise in the areas of ICD-9-CM, CPT, DRG/APC validation Professional Fee E&M coding, Interventional Radiology, and Facility E&M coding. Patricia is currently Director of Education a healthcare consulting firm specializing in coding compliance review, education and contract coding services.](https://hiacode.com/hs-fs/hubfs/Imported_Blog_Media/Pat-2-e1494921947277-May-12-2022-06-55-43-92-PM.png?width=170&height=170&name=Pat-2-e1494921947277-May-12-2022-06-55-43-92-PM.png) **Pat Maccariella‑Hafey** * RHIA, CDIP, CCS, CCS‑P, CIRCC* Executive Director Of Education AHIMA‑Approved ICD‑10‑CM/PCS Trainer and Ambassador   ### Deadline for comments is September 10, 2018 The [2019 Medicare Physician Fee Schedule](https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14985.pdf) proposed rule has been released! There are several blockbuster proposals to physician E/M reporting that you don’t want to miss. Among them are: - Possible single payment of $93 for levels 2 to 5 established patient visits - Possible single payment of $135 for levels 2 to 5 for new patient visits - Significantly reduced documentation requirements: - One proposal to use time OR Medical Decision Making ONLY and scraping the history and physical components! - Another proposal, providers could report history and exam but only note what has changed or verify some information from ancillary staff rather than re-documenting it - Providers could continue to use the old E/M guidelines as they have been. - Proposed add-on G code for primary care focused visits - Proposed add-on G code for specialists - Proposed new podiatry office/outpatient E/M G codes Read the CY2019 Physician Fee Schedule Proposed Rule in full: [https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14985.pdf](https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14985.pdf) The deadline to submit comments is September 10, 2018 at 5 pm. > ***The information contained in this post is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.*** ##### [Previous](https://hiacode.com/blog/education/sneak-peek-of-icd-11) ### [Want a sneak peek at ICD-11? | Health Information Associates](https://hiacode.com/blog/education/sneak-peek-of-icd-11) ##### [Next](https://hiacode.com/blog/education/query-tip-is-sepsis-present-on-admission) ### [Query Tip: Is Sepsis Present on Admission?](https://hiacode.com/blog/education/query-tip-is-sepsis-present-on-admission) Serach Blog Post ## Need to Earn CEUs? Our coding education platform, HIAlearn.com, offers courses related to this topic and many more. 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