After more than three years of advocacy by the SCAI Government Relation Committee, intracoronary imaging and invasive coronary physiology will receive a boost from the Centers for Medicare and Medicaid Services (CMS) next year. This is a huge accomplishment for interventional cardiology as historically, CMS policy under the Ambulatory Surgical Center (ASC) payment system has not allowed additional payment for certain “add-on” services although many of these services are known to enhance quality and reduce unnecessary PCI procedures with the associated diagnostic cardiac procedure.