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What do the proposed 2027 CPT changesdo to your revenue?
The proposed CY2027 rule replaces untimed 92507 (one flat payment per visit, whatever the length) with timed 15-minute units. Your session mix decides whether that helps or hurts. This is your arithmetic, not our prediction: final unit rates are not set, so try your own assumptions.
Your week
Your rates
Today (untimed)
$131,100
30 sessions / week
Proposed (timed)
$103,500
75 units / week
-$27,600(-21.1%)
per year, at these assumptions
By session length
- 30 min · 2 units-36.8% per session
- 45 min · 3 units-5.3% per session
- 60 min · 4 units+26.3% per session
Your break-even unit rate is $38. Above that, the timed structure pays your current mix more than today; below it, less. Longer sessions carry more units, which is why 60-minute visits fare better than 30-minute stacking under the proposal.
The proposed rule is open for public comment. If you think pediatric services should not be reimbursed less than adult services, say so on the record:
Comment on the CY2027 proposed ruleModeling only, not billing or legal advice. Figures depend entirely on your inputs; final CY2027 codes, RVUs, and payer rates are not set. Verify against the Federal Register and your own contracts.
Vochella superbills and invoices already handle timed codes and the 8-minute rule, so the switch is a settings change, not a software change. See how it works