CPT code 60200: Thyroid surgery, focal lesion or isthmus2026 Medicare rate & RVUs in Oregon
Reports operative removal of a thyroid cyst or adenoma, or division of the thyroid isthmus, when surgery is limited to that service.
CMS doesn’t publish an office rate for 60200 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | $634.58 |
| Rest of Oregon | Unavailable | $600.45 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.82/0.09 | Share 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.
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%).
60200 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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