# CPT 20103: Exploration of penetrating wound, extremity

Medicare CPT 20103 pays $592.20 in a non-facility setting and $316.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $521.40 in Arkansas to $688.71 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/20103-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $592.20 |
| National facility | $316.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $688.71 | $395.24 |
| District of Columbia | $673.79 | $349.19 |
| New York | $657.18 | $349.77 |
| California | $653.03 | $326.96 |
| New Jersey | $652.35 | $342.08 |
| Washington | $644.15 | $330.02 |
| Massachusetts | $639.17 | $329.59 |
| Connecticut | $632.45 | $335.68 |
| Hawaii | $630.29 | $316.98 |
| Florida | $626.04 | $349.57 |
| Maryland | $613.43 | $326.17 |
| Colorado | $611.31 | $318.12 |
| Illinois | $611.20 | $344.94 |
| Oregon | $604.61 | $314.31 |
| Rhode Island | $604.45 | $319.80 |
| New Hampshire | $603.63 | $316.78 |
| Puerto Rico | $595.90 | $317.31 |
| Virgin Islands | $595.90 | $317.31 |
| Montana | $592.13 | $316.57 |
| Pennsylvania | $588.27 | $318.36 |
| Nevada | $586.84 | $311.00 |
| Delaware | $584.99 | $312.74 |
| Texas | $584.76 | $313.47 |
| Wyoming | $583.25 | $307.70 |
| Michigan | $582.81 | $324.06 |
| Georgia | $581.57 | $318.69 |
| Minnesota | $579.11 | $295.56 |
| Virginia | $575.56 | $304.69 |
| Arizona | $575.35 | $308.33 |
| North Dakota | $571.76 | $296.21 |
| Vermont | $571.37 | $298.56 |
| South Dakota | $569.35 | $293.80 |
| New Mexico | $567.26 | $314.57 |
| Utah | $565.66 | $306.64 |
| Maine | $562.27 | $298.98 |
| Louisiana | $560.42 | $308.84 |
| Missouri | $560.06 | $307.19 |
| Ohio | $559.08 | $307.50 |
| South Carolina | $557.87 | $303.26 |
| West Virginia | $556.75 | $317.29 |
| North Carolina | $554.07 | $296.97 |
| Wisconsin | $552.27 | $288.29 |
| Kentucky | $546.67 | $301.70 |
| Indiana | $546.50 | $291.06 |
| Oklahoma | $543.46 | $297.39 |
| Idaho | $543.37 | $289.85 |
| Tennessee | $541.35 | $290.86 |
| Nebraska | $541.25 | $286.91 |
| Iowa | $538.83 | $286.70 |
| Kansas | $538.29 | $289.19 |
| Mississippi | $529.87 | $292.62 |
| Alabama | $529.30 | $288.18 |
| Arkansas | $521.40 | $284.70 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule
- 20551: Injection, single tendon origin/insertion — https://www.med-reveal.com/rates/20551-cpt-fee-schedule

Commercial negotiated rates for 20103 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