# CPT 65420: Excision/transposition Pterygium w/o Graft

Medicare CPT 65420 pays $540.43 in a non-facility setting and $334.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $480.22 in Arkansas to $631.30 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/65420-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $540.43 |
| National facility | $334.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $631.30 | $412.17 |
| District of Columbia | $618.26 | $375.89 |
| California | $611.05 | $367.59 |
| New Jersey | $597.43 | $365.76 |
| Washington | $596.58 | $362.03 |
| New York | $596.07 | $366.54 |
| Massachusetts | $590.41 | $359.25 |
| Hawaii | $588.49 | $354.56 |
| Connecticut | $575.50 | $353.91 |
| Colorado | $564.32 | $345.41 |
| Maryland | $559.62 | $345.12 |
| Oregon | $559.03 | $342.27 |
| New Hampshire | $554.82 | $340.64 |
| Rhode Island | $554.62 | $342.09 |
| Florida | $552.78 | $346.35 |
| Puerto Rico | $544.51 | $336.49 |
| Virgin Islands | $544.51 | $336.49 |
| Minnesota | $543.41 | $331.70 |
| Montana | $540.40 | $334.65 |
| Nevada | $538.86 | $332.91 |
| Illinois | $538.52 | $339.71 |
| Wyoming | $537.39 | $331.64 |
| Delaware | $535.31 | $332.03 |
| Pennsylvania | $534.59 | $333.05 |
| Texas | $534.38 | $331.82 |
| North Dakota | $533.48 | $327.73 |
| South Dakota | $532.66 | $326.91 |
| Vermont | $530.78 | $327.09 |
| Virginia | $530.41 | $328.16 |
| Arizona | $526.75 | $327.38 |
| Georgia | $525.15 | $328.86 |
| Michigan | $521.60 | $328.40 |
| Maine | $518.85 | $322.26 |
| Wisconsin | $516.09 | $318.98 |
| Utah | $516.03 | $322.62 |
| New Mexico | $510.67 | $322.00 |
| North Carolina | $510.29 | $318.33 |
| South Carolina | $509.28 | $319.16 |
| Missouri | $508.40 | $319.59 |
| Louisiana | $507.33 | $319.48 |
| Ohio | $506.87 | $319.02 |
| Indiana | $506.18 | $315.45 |
| Nebraska | $503.37 | $313.47 |
| Idaho | $503.32 | $314.03 |
| Iowa | $500.50 | $312.24 |
| Tennessee | $499.82 | $312.79 |
| Kansas | $497.50 | $311.50 |
| Kentucky | $496.50 | $313.59 |
| Oklahoma | $496.43 | $312.70 |
| West Virginia | $494.80 | $316.00 |
| Alabama | $487.01 | $306.97 |
| Mississippi | $483.61 | $306.46 |
| Arkansas | $480.22 | $303.48 |

## 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 65420 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