# CPT 65400: Excision/transposition of pterygium

Medicare CPT 65400 pays $698.41 in a non-facility setting and $523.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $627.47 in Arkansas to $839.72 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/65400-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $698.41 |
| National facility | $523.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $839.72 | $653.32 |
| District of Columbia | $791.15 | $584.98 |
| California | $777.57 | $570.47 |
| New York | $767.39 | $572.13 |
| New Jersey | $767.35 | $570.28 |
| Washington | $762.67 | $563.14 |
| Massachusetts | $755.86 | $559.23 |
| Hawaii | $749.46 | $550.46 |
| Connecticut | $740.94 | $552.44 |
| Colorado | $724.74 | $538.52 |
| Maryland | $721.60 | $539.14 |
| Florida | $718.83 | $543.23 |
| Oregon | $718.06 | $533.67 |
| Rhode Island | $715.22 | $534.42 |
| New Hampshire | $713.71 | $531.51 |
| Puerto Rico | $702.89 | $525.94 |
| Virgin Islands | $702.89 | $525.94 |
| Illinois | $702.87 | $533.76 |
| Montana | $698.37 | $523.35 |
| Minnesota | $696.90 | $516.80 |
| Nevada | $695.50 | $520.30 |
| Wyoming | $693.20 | $518.18 |
| Pennsylvania | $693.10 | $521.66 |
| Delaware | $692.40 | $519.48 |
| Texas | $691.60 | $519.29 |
| North Dakota | $686.51 | $511.49 |
| Virginia | $685.14 | $513.09 |
| South Dakota | $685.11 | $510.09 |
| Vermont | $684.17 | $510.90 |
| Georgia | $682.75 | $515.78 |
| Arizona | $682.07 | $512.47 |
| Michigan | $680.09 | $515.75 |
| Maine | $671.61 | $504.37 |
| Utah | $670.32 | $505.80 |
| New Mexico | $666.40 | $505.91 |
| Wisconsin | $666.31 | $498.64 |
| South Carolina | $662.41 | $500.69 |
| Missouri | $662.35 | $501.74 |
| North Carolina | $662.09 | $498.79 |
| Louisiana | $661.58 | $501.79 |
| Ohio | $660.80 | $501.00 |
| Indiana | $656.41 | $494.17 |
| Idaho | $653.11 | $492.10 |
| Nebraska | $652.51 | $490.97 |
| West Virginia | $650.17 | $498.08 |
| Tennessee | $649.62 | $490.53 |
| Iowa | $649.42 | $489.28 |
| Kentucky | $648.51 | $492.92 |
| Oklahoma | $647.48 | $491.19 |
| Kansas | $646.79 | $488.57 |
| Alabama | $635.44 | $482.30 |
| Mississippi | $632.83 | $482.13 |
| Arkansas | $627.47 | $477.13 |

## Related codes

- 65091: Evisceration of ocular contents — https://www.med-reveal.com/rates/65091-cpt-fee-schedule
- 65205: Removal of foreign body, external eye, conjunctival superficial — https://www.med-reveal.com/rates/65205-cpt-fee-schedule
- 65222: Removal of foreign body, external eye, corneal with slit lamp — https://www.med-reveal.com/rates/65222-cpt-fee-schedule
- 65426: Excision/transposition of pterygium with graft — https://www.med-reveal.com/rates/65426-cpt-fee-schedule
- 65710: Keratoplasty (corneal transplant), anterior lamellar — https://www.med-reveal.com/rates/65710-cpt-fee-schedule
- 65730: Keratoplasty, penetrating, in aphakia — https://www.med-reveal.com/rates/65730-cpt-fee-schedule
- 65750: Keratoplasty, penetrating, in pseudophakia — https://www.med-reveal.com/rates/65750-cpt-fee-schedule
- 65772: Corneal relaxing incision for correction of surgically induced astigmatism — https://www.med-reveal.com/rates/65772-cpt-fee-schedule

Commercial negotiated rates for 65400 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