2025 vs. 2026 Coding Rules: RVU Comparison

December 16, 2025

With more than 145 CPT coding changes coming to IR and CV procedures on January 1, 2026, the difference between documenting a case under 2025 rules versus 2026 rules isn't theoretical. It shows up directly in RVUs, and for many procedures, the gap is significant.

In this webinar, Dr. David Zielske documents cases in Etch using both 2025 and 2026 coding guidelines side by side, highlighting the difference in RVUs for the same procedures. For programs still weighing how much these changes actually matter, this session answers that question.

The facility impact is real. The 2026 changes increase reimbursement in outpatient settings including OBL and ASC, but only for programs whose documentation meets the new standards. Physicians must adapt to new documentation requirements to ensure compliance and capture full reimbursement. Updating the chargemaster, educating staff, and auditing for compliance can take months, and programs that start late risk denied claims and lost revenue in the meantime.

Etch removes that risk, coming pre-loaded with all 2026 coding updates on day one. It guides physicians through new documentation requirements in real time and highlights new technology add-on payments so facilities don't miss out on additional reimbursement. Every rule, edit, and bundling guideline is built in. Whether the goal is audit readiness, reimbursement accuracy, or both, Etch handles it in one workflow.

This video includes:
  • Etch platform overview
  • 2026 CPT coding highlights
  • Case Scenarios in Etch with 2025 vs. 2026 coding rules:
    • Coronary Revascularization and iFR
    • Iliac Revascularization