American College of Radiology (ACR) and American Society of Neuroradiology (ASNR) leaders expressed concerns about Medicare’s proposed valuation of breast MRI, MR elastography, contrast-enhanced ultrasound and 20 X-ray procedures at an October 17 meeting with members of the Centers for Medicare & Medicaid Services (CMS) at their Baltimore headquarters. Gregory Nicola, M.D., FACR, radiologist at Hackensack University Medical Center and vice-chair of the ACR Economics Commission, and Kurt Schoppe, M.D., ACR Relative Value Scale Update Committee (RUC) advisor, led the meeting, with support from Melissa M. Chen, M.D., the ASNR’s RUC alternate advisor. ACR Senior Director of Economics and Health Policy Angela Kim, ACR Assistant Director of Economics and Health Policy Stephanie Le, and the ASNR’s Director of Economics, Health Policy and Research, Rahul Bhala also attended the meeting. CMS was represented by key players of its Hospital and Ambulatory Policy Group and the Division of Practitioner Services. They played important roles during the rulemaking period.