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

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 Houston, TX, Medicare pays $110.73 for 60100 in the office and $67.94 when it’s performed in a hospital or facility.

$110.73Office (non-facility)
$67.94Hospital or facility
+2.0%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $110.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

60100 in Houston, TX vs other payment areas
  1. Houston, TX · this page$110.73
  2. Austin, TX · Texas$111.03+$0.30
  3. Beaumont, TX · Texas$103.46−$7.27
  4. Brazoria, TX · Texas$107.24−$3.49
  5. Dallas, TX · Texas$108.00−$2.73
  6. Fort Worth, TX · Texas$107.55−$3.18
  7. Galveston, TX · Texas$107.62−$3.11

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

Every other payment area

60100 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$105.34$64.46
Los Angeles, CACalifornia$118.26$67.29
Washington, DC areaDistrict of Columbia$121.21$70.45
Miami, FLFlorida$119.37$74.52
Chicago, ILIllinois$116.52$73.22
Manhattan, NYNew York$123.57$73.50
AlaskaAlaska$134.77$88.89
AlabamaAlabama$99.58$61.87

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 60100 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.52× 1.0081.5322
Practice expense1.56× 0.9931.5491
Malpractice0.17× 1.3760.2339
Total RVUs3.3152
Conversion factor× 33.4009

Office rate, Houston, TX$110.73

Office: (1.52 × 1.008 + 1.56 × 0.993 + 0.17 × 1.376) × $33.4009 = $110.73

Facility: (1.52 × 1.008 + 0.27 × 0.993 + 0.17 × 1.376) × $33.4009 = $67.94

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, Houston, TX
Used instead
10005Ultrasound-guided FNA, first lesionUse for fine-needle aspiration biopsy with ultrasound guidance, rather than tissue needle biopsy.$134.23
10021Fine needle aspiration, first lesion, no imagingUse for fine-needle aspiration biopsy without imaging guidance.$102.46
Often billed with
76942Ultrasound needle guidance, biopsy, aspiration, injection, or localizationMay report ultrasound guidance separately when performed and supported by documentation.$64.52
88305Tissue pathology exam, level IV specimenMay represent separate surgical pathology examination of the submitted tissue specimen.$70.27

How 60100 has changed in Houston, TX

60100 · Office / nonfacility

$110.73

Effective 2026-10-01

The base rate is $1.33 higher than on 2025-10-01, moving from $109.40 to $110.73 (1.2%).

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

    $109.40changed to$110.73

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $112.71changed to$109.40

    • 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

    $110.87changed to$112.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $114.83changed to$110.87

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $114.91changed to$114.83

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $116.18changed to$114.91

    • 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

    $116.92changed to$116.18

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $116.75changed to$116.92

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.15 changed to 0.13
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $117.32changed to$116.75

    • 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

    $116.88changed to$117.32

    • 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 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $116.43changed to$116.88

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $117.54changed to$116.43

    • 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

    $116.96changed to$117.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $115.66changed to$116.96

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $112.44changed to$115.66

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $112.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$110.73$67.94RVU26D
2026-07-01$110.73$67.94RVU26C
2026-04-01$110.73$67.94RVU26B
2026-01-01$110.73$67.94RVU26A
2025-10-01$109.40$75.98RVU25D
2025-07-01$109.40$75.98RVU25C
2025-04-01$109.40$75.98RVU25B
2025-01-01$109.40$75.98RVU25A
2024-10-01$112.71$78.32RVU24D
2024-07-01$112.71$78.32RVU24C
2024-04-01$112.71$78.32RVU24B
2024-03-09$112.71$78.32RVU24AR
2024-01-01$110.87$77.05RVU24A
2023-10-01$114.83$79.71RVU23D
2023-07-01$114.83$79.71RVU23C
2023-04-01$114.83$79.71RVU23B
2023-01-01$114.83$79.71RVU23A
2022-10-01$114.91$79.30RVU22D
2022-07-01$114.91$79.30RVU22C
2022-04-01$114.91$79.30RVU22B
2022-01-01$114.91$79.30RVU22A
2021-10-01$116.18$80.27RVU21D
2021-07-01$116.18$80.27RVU21C
2021-04-01$116.18$80.27RVU21B
2021-01-01$116.18$80.27RVU21A
2020-10-01$116.92$82.68RVU20D
2020-07-01$116.92$82.68RVU20C
2020-04-01$116.92$82.68RVU20B
2020-01-01$116.92$82.68RVU20A
2019-10-01$116.75$82.83RVU19D
2019-07-01$116.75$82.83RVU19C
2019-04-01$116.75$82.83RVU19B
2019-01-01$116.75$82.83RVU19A
2018-10-01$117.32$83.08RVU18D
2018-07-01$117.32$83.08RVU18C
2018-04-01$117.32$83.08RVU18B
2018-01-01$117.32$83.08RVU18AR1
2017-10-01$116.88$82.84RVU17D
2017-07-01$116.88$82.84RVU17C
2017-04-01$116.88$82.84RVU17B
2017-01-01$116.88$82.84RVU17A
2016-10-01$116.43$82.58RVU16D
2016-07-01$116.43$82.58RVU16C
2016-04-01$116.43$82.58RVU16B
2016-01-01$116.43$82.58RVU16A
2015-10-01$117.54$83.56RVU15D
2015-07-01$117.54$83.56RVU15C
2015-04-01$116.96$83.14RVU15B
2015-01-01$116.96$83.14RVU15A
2014-10-01$115.66$82.21RVU14D
2014-07-01$115.66$82.21RVU14C
2014-04-01$115.66$82.21RVU14B
2014-01-01$115.66$82.21RVU14A
2013-10-01$112.44$78.35RVU13D
2013-07-01$112.44$78.35RVU13C
2013-04-01$112.44$78.35RVU13B
2013-01-01$112.44$78.35RVU13AR

Price 60100 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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