# CPT 49423: Exchng Absc/cst Drg Cath Rad Gid Spx

Medicare CPT 49423 pays $549.44 in a non-facility setting and $60.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $476.82 in Arkansas to $641.02 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/49423-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $549.44 |
| National facility | $60.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $641.02 | $65.38 |
| California | $639.73 | $61.51 |
| Washington | $619.35 | $62.28 |
| Hawaii | $615.24 | $59.64 |
| New Jersey | $614.91 | $64.68 |
| Massachusetts | $611.30 | $62.30 |
| New York | $611.03 | $65.89 |
| Alaska | $603.04 | $82.63 |
| Connecticut | $589.76 | $63.48 |
| Colorado | $580.63 | $60.70 |
| Oregon | $574.92 | $60.12 |
| Maryland | $571.59 | $62.16 |
| New Hampshire | $569.14 | $60.45 |
| Rhode Island | $566.16 | $61.38 |
| Minnesota | $560.09 | $57.26 |
| Florida | $556.16 | $65.88 |
| Puerto Rico | $554.83 | $60.80 |
| Virgin Islands | $554.83 | $60.80 |
| Montana | $549.43 | $60.78 |
| Nevada | $549.05 | $59.91 |
| Wyoming | $548.06 | $59.40 |
| North Dakota | $546.27 | $57.62 |
| South Dakota | $545.90 | $57.24 |
| Delaware | $543.18 | $60.39 |
| Vermont | $541.84 | $58.07 |
| Texas | $541.63 | $60.55 |
| Pennsylvania | $540.06 | $61.42 |
| Virginia | $539.43 | $59.08 |
| Illinois | $537.71 | $65.55 |
| Arizona | $533.28 | $59.77 |
| Georgia | $527.72 | $61.54 |
| Maine | $525.35 | $58.44 |
| Wisconsin | $524.89 | $56.75 |
| Michigan | $521.33 | $62.48 |
| Utah | $519.10 | $59.76 |
| North Carolina | $514.24 | $58.32 |
| South Carolina | $510.90 | $59.38 |
| Indiana | $510.44 | $57.46 |
| New Mexico | $509.30 | $61.20 |
| Missouri | $508.47 | $60.05 |
| Nebraska | $507.88 | $56.85 |
| Idaho | $506.89 | $57.33 |
| Louisiana | $506.49 | $60.34 |
| Ohio | $506.28 | $60.13 |
| Iowa | $504.01 | $56.89 |
| Tennessee | $501.77 | $57.59 |
| Kansas | $499.11 | $57.37 |
| Oklahoma | $495.11 | $58.74 |
| Kentucky | $493.86 | $59.45 |
| West Virginia | $486.68 | $62.04 |
| Alabama | $485.04 | $57.47 |
| Mississippi | $479.01 | $58.28 |
| Arkansas | $476.82 | $57.07 |

## 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 49423 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