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CPT code 60200: Thyroid surgery, focal lesion or isthmus2026 Medicare rate & RVUs

Reports operative removal of a thyroid cyst or adenoma, or division of the thyroid isthmus, when surgery is limited to that service.

CMS RVU26DEffective Oct 1, 2026109 payment localities1K Medicare services in 2024

Medicare pays $621.59 for 60200 nationally in a facility.

Medicare rate · 60200

Thyroid surgery, focal lesion or isthmus

Office or facility?

Work RVUs
9.77
Total RVUs
18.61
Global days
090

National rate · 2026

$621.59

Facility setting, before claim adjustments.

See every locality for 60200 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 60200 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 60200 covers

This operation addresses a localized thyroid cyst or adenoma, or involves dividing the isthmus, the tissue bridge joining the thyroid lobes. An endocrine or head-and-neck surgeon typically performs it in an operating room. The operative report should identify the lesion or isthmus work and describe what thyroid tissue was removed or divided. A procedure that removes a thyroid lobe or more extensive gland tissue is selected according to its extent rather than reported as a focal lesion excision.

This code has a 90-day global period: the day-before preoperative visit and related postoperative care through 90 days are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is 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.

Where 60200 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

60200 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$563.63
AlaskaUnavailable$768.92
ArizonaUnavailable$604.74
ArkansasUnavailable$556.52
Atlanta, GAUnavailable$639.90
Austin, TXUnavailable$627.65
Bakersfield, CAUnavailable$622.95
Baltimore area, MDUnavailable$659.54
Beaumont, TXUnavailable$596.31
Brazoria, TXUnavailable$607.17

60200 rates by state

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

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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.

View every state and territory as a table
60200 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 60200 rate is calculated

Each of 60200’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 · 60200

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.77

9.77 RVUs× 1.000 GPCI

Practice expense6.80

6.80 RVUs× 1.000 GPCI

Malpractice2.04

2.04 RVUs× 1.000 GPCI

Adjusted RVUs

18.6100

Conversion factor

$33.4009

Medicare rate

$621.59

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

Payment rules and modifiers for 60200

60200 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 60200

Thyroid surgery, focal lesion or isthmus

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.82/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 60200

Thyroid surgery, focal lesion or isthmus

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

60200 without 51 · national facility

$621.59

Thyroid surgery, focal lesion or isthmus

60200-51 · Second procedure: 50%

$310.80

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

60200 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 60200

    Thyroid surgery, focal lesion or isthmus9.77 wRVU

    Not priced

  • 60210

    Thyroid surgery, partial gland removal10.95 wRVU

    Not priced

  • 60220

    Thyroid lobectomy, complete single-lobe removal10.91 wRVU

    Not priced

  • 60280

    Duct lesion excision, thyroglossal duct6.01 wRVU

    Not priced

How to choose

60210Thyroid surgeryPartial gland removal
60210 describes partial removal of one thyroid lobe. Choose it when the operative extent is a lobectomy rather than excision limited to a cyst or adenoma, or division of the isthmus.
60220Thyroid lobectomyComplete single-lobe removal
60220 describes removal of one thyroid lobe. It is distinguished by the extent of gland removal, not simply by the presence of a thyroid lesion.
60280Duct lesion excisionThyroglossal duct
60280 concerns a thyroglossal duct lesion, not a cyst or adenoma within the thyroid gland. Confirm the lesion's anatomic origin in the operative documentation.

Codes related to 60200

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

Codes related to 60200
CodeHow it relatesNational office range
Used instead
60210Thyroid surgery, partial gland removalUsed when the documented operation is a partial removal of one thyroid lobe.No office rate
60212Thyroid surgery, partial plus contralateral subtotalFor partial removal of one lobe with additional subtotal removal on the opposite side.No office rate
60220Thyroid lobectomy, complete single-lobe removalFor removal of one thyroid lobe rather than a focal lesion excision.No office rate
60240Thyroidectomy, total gland removalFor total or complete thyroid removal.No office rate
60260Thyroidectomy, remaining tissue after prior removalFor removal of remaining thyroid tissue after prior partial thyroid removal.No office rate

60200 billing questions

How is this different from a thyroid lobectomy code?

Use this code for the specified cyst or adenoma excision or isthmus division. When the operation removes a thyroid lobe, select the code that reflects the documented extent of gland removal.

Can this code be reported with a more extensive thyroid removal?

The operative report should establish whether the service was a focal lesion excision or part of a larger thyroid resection. When multiple procedures are performed in the same session, the standard multiple-procedure reduction applies to the additional procedure or procedures.

What documentation supports reporting this code?

Document the thyroid lesion or isthmus treated, the operative approach, and the tissue actually excised or divided. The report should make clear whether a lobe or a larger portion of the gland was removed.

Are routine postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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 60200PPRRVU2026_Oct_nonQPP.csv, line 6,696 (RVU26D)

Open CMS sourceHow we calculate rates

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