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CPT code 60100: Thyroid biopsy, percutaneous needle2026 Medicare rate & RVUs in Kentucky

Report this procedure for percutaneous needle sampling of thyroid tissue, such as a nodule, when the service is not a fine-needle aspiration biopsy.

CMS RVU26DEffective Oct 1, 2026One payment locality3.8K Medicare services in 2024

In Kentucky, Medicare pays $102.29 for 60100 in the office and $63.98 when it’s performed in a hospital or facility.

$102.29Office (non-facility)
$63.98Hospital or facility
−5.8%vs the national office rate ($108.55)

Check a contract rate as a % of Medicare · 60100 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 60100 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kentucky
  2. What 60100 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 60100 covers

A clinician obtains thyroid tissue by passing a needle through the skin into a thyroid nodule or other focal abnormality. The procedure is commonly performed by an endocrinologist, radiologist, or surgeon in an office, outpatient department, or imaging suite. This code describes needle tissue biopsy; when the service is specifically fine-needle aspiration, use the applicable FNA code instead.

Report one service for the percutaneous thyroid biopsy and document the target, needle approach, tissue obtained, and any imaging guidance performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Kentucky compares for 60100

Across 109 of 109 payment localities, the office rate for 60100 runs from $98.45 in Arkansas to $134.77 in Alaska. Kentucky pays $102.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

60100 in Kentucky vs other payment areas
  1. Kentucky · this page$102.29
  2. Los Angeles, CA · California$118.26+$15.97
  3. Washington, DC area · District of Columbia$121.21+$18.92
  4. Miami, FL · Florida$119.37+$17.08
  5. Chicago, IL · Illinois$116.52+$14.23
  6. Manhattan, NY · New York$123.57+$21.28
  7. Alaska · Alaska$134.77+$32.48

Other areas in Kentucky first, then benchmark localities. Bars start at $0.

Every other payment area

60100 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$99.58$61.87
ArkansasArkansas$98.45$61.44
ArizonaArizona$106.12$64.37
Bakersfield, CACalifornia$112.30$65.08
Chico, CACalifornia$111.78$64.56
El Centro, CACalifornia$111.81$64.59
Fresno, CACalifornia$111.78$64.56
Hanford, CACalifornia$111.78$64.56

60100 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$98.45

$134.77

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
60100 office rate range by state
State / territoryOffice rate rangeLocalities
AK$134.771
AL$99.581
AR$98.451
AZ$106.121
CA$111.78–$134.5329
CO$111.251
CT$114.771
DC$121.211
DE$107.611
FL$109.12–$119.373
GA$104.02–$110.682
GU$113.301
HI$113.301
IA$100.701
ID$101.391
IL$107.22–$116.524
IN$101.831
KS$100.731
KY$102.291
LA$102.32–$106.252
MA$110.97–$120.122
MD$109.22–$121.213
ME$102.24–$105.992
MI$104.75–$110.622
MN$106.071
MO$101.21–$106.063
MS$99.831
MT$108.541
NC$103.011
ND$105.181
NE$101.011
NH$109.981
NJ$115.93–$120.472
NM$105.371
NV$107.661
NY$104.26–$126.525
OH$104.071
OK$101.711
OR$106.66–$113.702
PA$103.97–$112.702
PR$109.041
RI$110.621
SC$103.741
SD$104.781
TN$101.181
TX$103.46–$111.038
UT$104.851
VA$106.00–$121.212
VI$109.041
VT$105.231
WA$110.62–$121.882
WI$102.441
WV$104.171
WY$107.081

See 60100 in every payment locality

How the 60100 rate is calculated

Each of 60100’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 60100

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.52

1.52 RVUs× 1.000 GPCI

Practice expense1.56

1.56 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

3.2500

Conversion factor

$33.4009

Medicare rate

$108.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kentucky inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,693

Code
60100
Physician work
1.52
Practice expense
1.56
Malpractice
0.17

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Office calculation for 60100 in Kentucky
ComponentRVULocality factorAdjusted
Physician work1.52× 1.0001.5200
Practice expense1.56× 0.8891.3868
Malpractice0.17× 0.9150.1556
Total RVUs3.0624
Conversion factor× 33.4009

Office rate, Kentucky$102.29

Office: (1.52 × 1 + 1.56 × 0.889 + 0.17 × 0.915) × $33.4009 = $102.29

Facility: (1.52 × 1 + 0.27 × 0.889 + 0.17 × 0.915) × $33.4009 = $63.98

Open 60100 in the RVU calculator

Payment rules and modifiers for 60100

The CMS indicators that decide how 60100 is paid alongside other services.

CMS payment indicators · 60100

Thyroid biopsy, percutaneous needle

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

60100 without 51 · national office

$108.55

Thyroid biopsy, percutaneous needle

60100-51 · Second procedure: 50%

$54.28

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 60100

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 60100
CodeHow it relatesOffice range, Kentucky
Used instead
10005Ultrasound-guided FNA, first lesionUse for fine-needle aspiration biopsy with ultrasound guidance, rather than tissue needle biopsy.$123.00
10021Fine needle aspiration, first lesion, no imagingUse for fine-needle aspiration biopsy without imaging guidance.$93.50
Often billed with
76942Ultrasound needle guidance, biopsy, aspiration, injection, or localizationMay report ultrasound guidance separately when performed and supported by documentation.$59.46
88305Tissue pathology exam, level IV specimenMay represent separate surgical pathology examination of the submitted tissue specimen.$65.08

How 60100 has changed in Kentucky

60100 · Office / nonfacility

$102.29

Effective 2026-10-01

The base rate is $2.57 higher than on 2025-10-01, moving from $99.72 to $102.29 (2.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $99.72changed to$102.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.56 changed to 1.52
    • Practice expense RVU 1.57 changed to 1.56
    • Malpractice RVU 0.16 changed to 0.17
    • Practice expense GPCI 0.877 changed to 0.889
    • Malpractice GPCI 0.913 changed to 0.915

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $102.64changed to$99.72

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.56 changed to 1.57
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $100.96changed to$102.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $104.32changed to$100.96

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 0.873 changed to 0.877
    • Malpractice GPCI 0.870 changed to 0.913

  5. January 1, 2023

    RVU23A

    $104.30changed to$104.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.54 changed to 1.56
    • Malpractice RVU 0.14 changed to 0.18
    • Practice expense GPCI 0.869 changed to 0.873
    • Malpractice GPCI 0.827 changed to 0.870

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $105.46changed to$104.30

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $107.16changed to$105.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.49 changed to 1.54
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 0.874 changed to 0.869
    • Malpractice GPCI 0.823 changed to 0.827

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $107.90changed to$107.16

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.15 changed to 0.13
    • Practice expense GPCI 0.880 changed to 0.874
    • Malpractice GPCI 0.819 changed to 0.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $108.40changed to$107.90

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.50 changed to 1.49
    • Malpractice RVU 0.16 changed to 0.15

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $107.80changed to$108.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.51 changed to 1.50
    • Malpractice RVU 0.15 changed to 0.16
    • Practice expense GPCI 0.876 changed to 0.880
    • Malpractice GPCI 0.807 changed to 0.819

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $107.27changed to$107.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.872 changed to 0.876
    • Malpractice GPCI 0.795 changed to 0.807

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $108.23changed to$107.27

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.17 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $107.69changed to$108.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $106.90changed to$107.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.50 changed to 1.51
    • Malpractice RVU 0.15 changed to 0.17
    • Malpractice GPCI 0.774 changed to 0.795

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $103.99changed to$106.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.58 changed to 1.50
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.871 changed to 0.872
    • Malpractice GPCI 0.752 changed to 0.774

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $103.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$102.29$63.98RVU26D
2026-07-01$102.29$63.98RVU26C
2026-04-01$102.29$63.98RVU26B
2026-01-01$102.29$63.98RVU26A
2025-10-01$99.72$70.50RVU25D
2025-07-01$99.72$70.50RVU25C
2025-04-01$99.72$70.50RVU25B
2025-01-01$99.72$70.50RVU25A
2024-10-01$102.64$72.57RVU24D
2024-07-01$102.64$72.57RVU24C
2024-04-01$102.64$72.57RVU24B
2024-03-09$102.64$72.57RVU24AR
2024-01-01$100.96$71.38RVU24A
2023-10-01$104.32$74.15RVU23D
2023-07-01$104.32$74.15RVU23C
2023-04-01$104.32$74.15RVU23B
2023-01-01$104.32$74.15RVU23A
2022-10-01$104.30$74.23RVU22D
2022-07-01$104.30$74.23RVU22C
2022-04-01$104.30$74.23RVU22B
2022-01-01$104.30$74.23RVU22A
2021-10-01$105.46$75.14RVU21D
2021-07-01$105.46$75.14RVU21C
2021-04-01$105.46$75.14RVU21B
2021-01-01$105.46$75.14RVU21A
2020-10-01$107.16$77.82RVU20D
2020-07-01$107.16$77.82RVU20C
2020-04-01$107.16$77.82RVU20B
2020-01-01$107.16$77.82RVU20A
2019-10-01$107.90$78.41RVU19D
2019-07-01$107.90$78.41RVU19C
2019-04-01$107.90$78.41RVU19B
2019-01-01$107.90$78.41RVU19A
2018-10-01$108.40$78.62RVU18D
2018-07-01$108.40$78.62RVU18C
2018-04-01$108.40$78.62RVU18B
2018-01-01$108.40$78.62RVU18AR1
2017-10-01$107.80$78.25RVU17D
2017-07-01$107.80$78.25RVU17C
2017-04-01$107.80$78.25RVU17B
2017-01-01$107.80$78.25RVU17A
2016-10-01$107.27$77.92RVU16D
2016-07-01$107.27$77.92RVU16C
2016-04-01$107.27$77.92RVU16B
2016-01-01$107.27$77.92RVU16A
2015-10-01$108.23$78.77RVU15D
2015-07-01$108.23$78.77RVU15C
2015-04-01$107.69$78.38RVU15B
2015-01-01$107.69$78.38RVU15A
2014-10-01$106.90$77.85RVU14D
2014-07-01$106.90$77.85RVU14C
2014-04-01$106.90$77.85RVU14B
2014-01-01$106.90$77.85RVU14A
2013-10-01$103.99$74.36RVU13D
2013-07-01$103.99$74.36RVU13C
2013-04-01$103.99$74.36RVU13B
2013-01-01$103.99$74.36RVU13AR

Price 60100 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

  • Adairville
  • Ages
  • Albany
  • Alexandria
  • Allen
  • Allensville
  • Anchorage
  • Annville

Browse all communities in Kentucky

60100 billing questions

How is 60100 different from a thyroid FNA code?

60100 represents percutaneous needle biopsy for tissue sampling. Use the FNA code set when the service is specifically fine-needle aspiration, with the code determined in part by whether imaging guidance is included.

Can imaging guidance be reported separately?

The biopsy code does not describe imaging guidance. If guidance is performed and separately reportable, document the modality, guidance, and needle placement; ultrasound guidance may be reported with 76942 when its requirements are met.

What documentation supports 60100?

Record the thyroid target, percutaneous needle approach, tissue sampling performed, and the specimen submitted. Include the imaging guidance details when guidance is performed.

Does 60100 have a global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included in the procedure.

Can modifier 50 or an assistant-at-surgery modifier be used?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for 60100.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple procedure reduction. Co-surgeon and team-surgery reporting are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 60100PPRRVU2026_Oct_nonQPP.csv, line 6,693 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)

Open CMS sourceHow we calculate rates

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