# CPT 65435: Rmvl Corneal Epithelium W/wo Chemocauterization

Medicare CPT 65435 pays $83.50 in a non-facility setting and $60.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.16 in Arkansas to $100.80 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/65435-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $83.50 |
| National facility | $60.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $100.80 | $76.26 |
| District of Columbia | $94.49 | $67.34 |
| California | $92.87 | $65.61 |
| New Jersey | $91.68 | $65.74 |
| New York | $91.67 | $65.96 |
| Washington | $91.11 | $64.84 |
| Massachusetts | $90.31 | $64.41 |
| Hawaii | $89.52 | $63.32 |
| Connecticut | $88.53 | $63.71 |
| Colorado | $86.62 | $62.10 |
| Maryland | $86.25 | $62.22 |
| Florida | $85.89 | $62.76 |
| Oregon | $85.83 | $61.55 |
| Rhode Island | $85.51 | $61.70 |
| New Hampshire | $85.31 | $61.31 |
| Puerto Rico | $84.03 | $60.73 |
| Virgin Islands | $84.03 | $60.73 |
| Illinois | $84.01 | $61.74 |
| Montana | $83.50 | $60.45 |
| Minnesota | $83.34 | $59.62 |
| Nevada | $83.16 | $60.09 |
| Pennsylvania | $82.89 | $60.32 |
| Wyoming | $82.89 | $59.85 |
| Delaware | $82.80 | $60.03 |
| Texas | $82.71 | $60.02 |
| North Dakota | $82.11 | $59.07 |
| South Dakota | $81.95 | $58.90 |
| Virginia | $81.95 | $59.29 |
| Vermont | $81.84 | $59.02 |
| Georgia | $81.66 | $59.67 |
| Arizona | $81.58 | $59.25 |
| Michigan | $81.34 | $59.70 |
| Maine | $80.36 | $58.34 |
| Utah | $80.20 | $58.53 |
| Wisconsin | $79.74 | $57.66 |
| New Mexico | $79.73 | $58.60 |
| South Carolina | $79.27 | $57.97 |
| Missouri | $79.26 | $58.11 |
| North Carolina | $79.23 | $57.73 |
| Louisiana | $79.17 | $58.13 |
| Ohio | $79.07 | $58.03 |
| Indiana | $78.57 | $57.21 |
| Idaho | $78.18 | $56.98 |
| Nebraska | $78.11 | $56.84 |
| West Virginia | $77.82 | $57.79 |
| Tennessee | $77.77 | $56.82 |
| Iowa | $77.75 | $56.66 |
| Kentucky | $77.63 | $57.14 |
| Oklahoma | $77.51 | $56.93 |
| Kansas | $77.44 | $56.60 |
| Alabama | $76.10 | $55.93 |
| Mississippi | $75.79 | $55.95 |
| Arkansas | $75.16 | $55.37 |

## 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 65435 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