ASTRO Health Policy radiation oncologists Drs. Anthony Paravati and Amar Rewari discuss the various issues ASTRO members have faced through the first quarter of 2026 related to the treatment delivery code changes. The pair speak from personal experience in their own practices, describe progress that we have seen from payers, ASTRO's advocacy efforts and plans moving forward. This discussion provides insight to conversations ASTRO has held with private payers and Medicare contractors, as well as ASTRO's plans to address reimbursement issues members are experiencing.