APMA is profoundly disappointed by the decision by CMS to move forward with a 20-percent reduction in payment for certain services reported on the same day with Modifier 25. This unwarranted, harmful cut was included in the Medicare Physician Fee Schedule (MPFS) final rule. Thanks to APMA’s tireless advocacy, however, CMS did not implement its original proposal, a destructive 50-percent cut.
APMA President Patrick A. DeHeer, DPM, said, “This policy will threaten access to care, particularly for underserved and rural populations, and it will undermine the ability to provide medically necessary same-day care. APMA unequivocally condemns any move to limit or delay patient access to needed health care.” APMA has advocated tirelessly against this proposal through its own channels and as part of the Same Day Care Coalition. APMA has also voiced its opposition directly with CMS, the Trump Administration, and lawmakers on Capitol Hill since the proposed rule was released this summer.
In addition to the decision on same-day care, the final rule established a CY 2027 conversion factor at $32.6286, which is a decrease of 2.31 percent from 2026. APMA estimates this will be an overall decrease of approximately 3.2 percent for podiatrists. Learn more about the financial impact of the final MPFS rule here.
The fight is not over yet! APMA will continue to oppose the final rule and Modifier 25 cut to policymakers. Do your part today and write to your members of Congress to stop the finalized rule using APMA’s eAdvocacy Action Center.
Source: APMA Weekly Focus, November 10, 2026.
