# CPT 65426: Excision/transposition of pterygium with graft

Medicare CPT 65426 pays $670.69 in a non-facility setting and $413.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $598.62 in Arkansas to $792.11 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/65426-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $670.69 |
| National facility | $413.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $792.11 | $517.85 |
| District of Columbia | $764.64 | $461.28 |
| California | $754.71 | $449.99 |
| New Jersey | $739.85 | $449.88 |
| New York | $738.53 | $451.24 |
| Washington | $737.82 | $444.24 |
| Massachusetts | $730.50 | $441.17 |
| Hawaii | $727.00 | $434.20 |
| Connecticut | $713.14 | $435.79 |
| Colorado | $699.02 | $425.02 |
| Maryland | $693.92 | $425.46 |
| Oregon | $692.54 | $421.24 |
| Rhode Island | $687.90 | $421.88 |
| New Hampshire | $687.56 | $419.48 |
| Florida | $686.76 | $428.38 |
| Puerto Rico | $675.50 | $415.15 |
| Virgin Islands | $675.50 | $415.15 |
| Minnesota | $673.16 | $408.17 |
| Montana | $670.66 | $413.14 |
| Illinois | $669.91 | $421.08 |
| Nevada | $668.58 | $410.80 |
| Wyoming | $666.70 | $409.17 |
| Delaware | $664.62 | $410.19 |
| Pennsylvania | $664.13 | $411.89 |
| Texas | $663.58 | $410.05 |
| North Dakota | $661.56 | $404.04 |
| South Dakota | $660.49 | $402.97 |
| Vermont | $658.52 | $403.57 |
| Virginia | $658.38 | $405.24 |
| Arizona | $654.27 | $404.73 |
| Georgia | $652.92 | $407.25 |
| Michigan | $649.00 | $407.19 |
| Maine | $644.56 | $398.50 |
| Utah | $641.63 | $399.56 |
| Wisconsin | $640.81 | $394.11 |
| New Mexico | $635.74 | $399.60 |
| North Carolina | $634.44 | $394.17 |
| South Carolina | $633.56 | $395.61 |
| Missouri | $632.72 | $396.40 |
| Louisiana | $631.54 | $396.43 |
| Ohio | $630.94 | $395.83 |
| Indiana | $629.34 | $390.62 |
| Idaho | $625.93 | $389.01 |
| Nebraska | $625.85 | $388.16 |
| Iowa | $622.47 | $386.84 |
| Tennessee | $621.87 | $387.79 |
| Kansas | $619.08 | $386.28 |
| Kentucky | $618.52 | $389.58 |
| Oklahoma | $618.23 | $388.26 |
| West Virginia | $617.28 | $393.49 |
| Alabama | $606.74 | $381.41 |
| Mississippi | $602.98 | $381.26 |
| Arkansas | $598.62 | $377.41 |

## 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
- 65400: Excision/transposition of pterygium — https://www.med-reveal.com/rates/65400-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 65426 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