# CPT 65450: Dstrj Lesion Cryother Photo/thermocautzation

Medicare CPT 65450 pays $334.68 in a non-facility setting and $288.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $300.42 in Arkansas to $401.08 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/65450-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $334.68 |
| National facility | $288.92 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $401.08 | $352.34 |
| District of Columbia | $379.69 | $325.78 |
| California | $373.80 | $319.66 |
| New Jersey | $368.06 | $316.53 |
| New York | $367.78 | $316.74 |
| Washington | $366.24 | $314.07 |
| Massachusetts | $362.85 | $311.44 |
| Hawaii | $360.22 | $308.19 |
| Connecticut | $355.17 | $305.88 |
| Colorado | $347.77 | $299.08 |
| Maryland | $345.88 | $298.17 |
| Oregon | $344.58 | $296.38 |
| Florida | $343.61 | $297.70 |
| Rhode Island | $342.92 | $295.65 |
| New Hampshire | $342.33 | $294.69 |
| Puerto Rico | $336.89 | $290.63 |
| Virgin Islands | $336.89 | $290.63 |
| Illinois | $335.79 | $291.58 |
| Minnesota | $334.74 | $287.66 |
| Montana | $334.66 | $288.90 |
| Nevada | $333.44 | $287.63 |
| Wyoming | $332.42 | $286.66 |
| Pennsylvania | $331.93 | $287.11 |
| Delaware | $331.81 | $286.60 |
| Texas | $331.38 | $286.33 |
| North Dakota | $329.52 | $283.76 |
| South Dakota | $328.91 | $283.15 |
| Virginia | $328.50 | $283.52 |
| Vermont | $328.26 | $282.95 |
| Arizona | $326.82 | $282.48 |
| Georgia | $326.75 | $283.10 |
| Michigan | $325.22 | $282.25 |
| Maine | $321.95 | $278.23 |
| Utah | $321.01 | $277.99 |
| Wisconsin | $319.72 | $275.88 |
| New Mexico | $318.74 | $276.77 |
| North Carolina | $317.26 | $274.57 |
| South Carolina | $317.18 | $274.90 |
| Missouri | $317.00 | $275.00 |
| Louisiana | $316.55 | $274.77 |
| Ohio | $316.21 | $274.43 |
| Indiana | $314.66 | $272.24 |
| Idaho | $313.05 | $270.95 |
| Nebraska | $312.87 | $270.63 |
| Iowa | $311.33 | $269.46 |
| Tennessee | $311.26 | $269.67 |
| West Virginia | $310.50 | $270.74 |
| Kentucky | $310.29 | $269.61 |
| Oklahoma | $309.94 | $269.08 |
| Kansas | $309.91 | $268.55 |
| Alabama | $304.27 | $264.23 |
| Mississippi | $302.79 | $263.39 |
| Arkansas | $300.42 | $261.11 |

## 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 65450 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