In the final 2012 Medicare physician fee schedule rule, CMS adopted a controversial policy to expand its multiple procedure payment reduction (MPPR) policy for advanced imaging services (computed tomography scans, magnetic resonance imaging, and ultrasound), which now applies to only the technical component (TC) of the service, to the professional component (PC) of the service. Effective January 1, 2012, the advance imaging procedures with the highest PC and TC payments will be paid in full, but the PC payment will be reduced by 25% for subsequent procedures furnished to the same patient, by the same physician in the same session on the same day. In the final rule, CMS stated that it would also apply the imaging MPPR to procedures furnished to the same patient in the same session by physicians in the same group practice. CMS recently announced, however, that it will not apply the imaging MPPR to procedures furnished to the same patient in the same session by more than one physician in the same group practice for 2012 due to “operational considerations.”