On November 2, the Centers for Medicare & Medicaid Services (CMS) released a final rule implementing changes to the Physician Fee Schedule and Quality Payment Program for 2022. The regulation includes new values for hypoglossal nerve stimulation and drug-induced sleep endoscopy, procedures commonly performed by otolaryngologist-head and neck surgeons. The agency heeded the Academy’s concerns regarding proposed updates to clinical labor pricing. In the final rule, CMS opted to phase in the changes over a four-year period. CMS also revised its proposals on critical care services. The agency will not bundle the services with other unrelated procedures next year. As expected, the 2022 fee schedule does not address the scheduled 9.75% cut to all physician services effective January 1, 2022. The AAO-HNS will continue to urge Congress to seek immediate action to reverse these cuts before the end of the year as well as to address long-term solutions for physician payment reform.