# CPT 65820: Goniotomy

Medicare CPT 65820 pays $723.46 in a non-facility setting and $723.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $654.57 in Arkansas to $885.07 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/65820-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $723.46 |
| National facility | $723.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $885.07 | $885.07 |
| District of Columbia | $814.77 | $814.77 |
| California | $798.70 | $798.70 |
| New York | $792.84 | $792.84 |
| New Jersey | $792.01 | $792.01 |
| Washington | $785.28 | $785.28 |
| Massachusetts | $778.88 | $778.88 |
| Hawaii | $770.14 | $770.14 |
| Connecticut | $765.65 | $765.65 |
| Colorado | $748.24 | $748.24 |
| Maryland | $746.45 | $746.45 |
| Florida | $746.33 | $746.33 |
| Oregon | $741.47 | $741.47 |
| Rhode Island | $740.07 | $740.07 |
| New Hampshire | $737.45 | $737.45 |
| Illinois | $731.32 | $731.32 |
| Puerto Rico | $727.64 | $727.64 |
| Virgin Islands | $727.64 | $727.64 |
| Montana | $723.42 | $723.42 |
| Nevada | $720.08 | $720.08 |
| Minnesota | $719.38 | $719.38 |
| Pennsylvania | $719.22 | $719.22 |
| Delaware | $717.69 | $717.69 |
| Wyoming | $717.56 | $717.56 |
| Texas | $717.08 | $717.08 |
| North Dakota | $709.97 | $709.97 |
| Virginia | $709.81 | $709.81 |
| Georgia | $709.48 | $709.48 |
| South Dakota | $708.38 | $708.38 |
| Vermont | $708.14 | $708.14 |
| Michigan | $707.68 | $707.68 |
| Arizona | $707.47 | $707.47 |
| Maine | $696.71 | $696.71 |
| Utah | $696.52 | $696.52 |
| New Mexico | $693.96 | $693.96 |
| Wisconsin | $690.51 | $690.51 |
| Missouri | $689.31 | $689.31 |
| South Carolina | $688.86 | $688.86 |
| Louisiana | $688.82 | $688.82 |
| Ohio | $687.93 | $687.93 |
| North Carolina | $687.76 | $687.76 |
| Indiana | $681.82 | $681.82 |
| West Virginia | $679.48 | $679.48 |
| Idaho | $678.65 | $678.65 |
| Nebraska | $677.73 | $677.73 |
| Kentucky | $675.97 | $675.97 |
| Tennessee | $675.59 | $675.59 |
| Iowa | $674.88 | $674.88 |
| Oklahoma | $674.48 | $674.48 |
| Kansas | $672.79 | $672.79 |
| Alabama | $662.29 | $662.29 |
| Mississippi | $660.48 | $660.48 |
| Arkansas | $654.57 | $654.57 |

## 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 65820 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