This article provides additional information on the background and processes used to value services in the Proposed Rule for the 2020 Physician Fee Schedule, including the advocacy efforts with CMS and RUC by AAPM and other specialty societies representing pain medicine physicians. The Proposed Rule recommends values for intrathecal/epidural pump procedures (CPT codes 62367-62370), the new codes for injection and ablation of genicular nerves (temporary CPT 64XX0 and 64XX1) and sacroiliac joint (temporary CPT 6XX00 and 6XX01), and somatic nerve injections (CPT codes 64405, 64418, 64420, 64421, 64425, 64430, and 64450). The article also reviews the issues surrounding the other services addressed in the Proposed Rule.