# CPT 11765: Wedge Excision Skin Nail Fold

Medicare CPT 11765 pays $163.00 in a non-facility setting and $89.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.58 in Arkansas to $189.34 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/11765-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $163.00 |
| National facility | $89.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $189.34 | $110.72 |
| District of Columbia | $186.89 | $99.93 |
| California | $185.08 | $97.74 |
| Washington | $180.45 | $96.30 |
| New Jersey | $180.44 | $97.32 |
| New York | $179.86 | $97.51 |
| Massachusetts | $178.51 | $95.58 |
| Hawaii | $178.20 | $94.28 |
| Connecticut | $173.68 | $94.18 |
| Colorado | $170.51 | $91.97 |
| Oregon | $168.92 | $91.15 |
| Maryland | $168.86 | $91.91 |
| New Hampshire | $167.55 | $90.71 |
| Rhode Island | $167.39 | $91.14 |
| Florida | $166.24 | $92.18 |
| Minnesota | $164.37 | $88.41 |
| Puerto Rico | $164.27 | $89.65 |
| Virgin Islands | $164.27 | $89.65 |
| Montana | $162.99 | $89.17 |
| Nevada | $162.61 | $88.72 |
| Wyoming | $162.21 | $88.40 |
| Illinois | $161.82 | $90.49 |
| Delaware | $161.45 | $88.52 |
| North Dakota | $161.21 | $87.39 |
| Texas | $161.14 | $88.47 |
| Pennsylvania | $161.10 | $88.79 |
| South Dakota | $161.00 | $87.18 |
| Vermont | $160.31 | $87.23 |
| Virginia | $160.07 | $87.51 |
| Arizona | $158.84 | $87.31 |
| Georgia | $158.12 | $87.70 |
| Michigan | $156.89 | $87.58 |
| Maine | $156.52 | $85.99 |
| Wisconsin | $155.87 | $85.15 |
| Utah | $155.48 | $86.09 |
| North Carolina | $153.85 | $84.98 |
| New Mexico | $153.62 | $85.93 |
| South Carolina | $153.41 | $85.20 |
| Missouri | $153.05 | $85.31 |
| Louisiana | $152.68 | $85.29 |
| Indiana | $152.67 | $84.25 |
| Ohio | $152.56 | $85.17 |
| Nebraska | $151.87 | $83.74 |
| Idaho | $151.79 | $83.88 |
| Iowa | $150.96 | $83.42 |
| Tennessee | $150.66 | $83.56 |
| Kansas | $149.96 | $83.23 |
| Oklahoma | $149.46 | $83.54 |
| Kentucky | $149.39 | $83.77 |
| West Virginia | $148.54 | $84.39 |
| Alabama | $146.66 | $82.07 |
| Mississippi | $145.50 | $81.94 |
| Arkansas | $144.58 | $81.18 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 11765 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules