CMS  has issued the final rule for the 2010 Physician Fee Schedule. Among other items, it implements the 21.5% reduction (pending Congressional intervention of course) and eliminates consult billing while enhancing E&M WRVUs. Link to text below. http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3539&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date