CPT code 60212: Thyroid surgery, partial plus contralateral subtotal2026 Medicare rate & RVUs in Guam
Reports partial removal of one thyroid lobe together with subtotal resection of the opposite lobe during the same operation.
CMS doesn’t publish an office rate for 60212 in Guam.
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 60212 covers
This code describes an operation that removes part of one thyroid lobe and most, but not all, of the opposite lobe. It is used when the surgeon performs both parts of that asymmetric resection in one session, such as for thyroid disease involving both sides. An endocrine surgeon, otolaryngologist, or general surgeon typically performs the operation in a hospital operating room.
Choose the code from the operative report’s description of the amount removed from each lobe; a general statement that a partial thyroidectomy was performed is not enough to establish this specific combination. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When other procedures in the same session are subject to the multiple-procedure rule, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. 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.
60212 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | $953.19 |
How the 60212 rate is calculated
Each of 60212’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 · 60212
RVUs × geographic indexes × conversion factor
Work16.02
16.02 RVUs× 1.000 GPCI
Practice expense8.83
8.83 RVUs× 1.000 GPCI
Malpractice4.28
4.28 RVUs× 1.000 GPCI
Adjusted RVUs
29.1300
Conversion factor
$33.4009
Medicare rate
$972.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 60212
60212 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 60212
Thyroid surgery, partial plus contralateral subtotal
| 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 · 60212
Thyroid surgery, partial plus contralateral subtotal
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
60212 without 51 · national facility
$972.97
Thyroid surgery, partial plus contralateral subtotal
60212-51 · Second procedure: 50%
$486.49
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%).
60212 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 60210Thyroid surgeryPartial gland removal
- Use 60212 when the operation includes subtotal resection of the opposite lobe as well as partial resection on one side. 60210 represents partial thyroidectomy without that specified combination.
- 60225Thyroid surgeryTotal one side, subtotal opposite
- Both describe resection involving the opposite lobe, but 60225 includes total or subtotal removal on the first side. 60212 specifies partial removal on that side.
- 60240ThyroidectomyTotal gland removal
- 60240 is for complete thyroid removal. 60212 describes less extensive, asymmetric resection, with partial removal on one side and subtotal removal on the other.
60212 billing questions
How does this differ from 60210?
60212 describes partial removal on one side plus subtotal removal on the other. Use 60210 when the operative work does not include that contralateral subtotal resection.
How does this differ from 60225?
60225 describes total or subtotal removal on one side with subtotal removal on the other. The distinction is the extent of resection on the first side.
Should modifier 50 be appended?
No. The code represents a specified operation involving both sides, and the CMS bilateral adjustment does not apply.
What documentation supports reporting 60212?
The operative report should describe the resection on each side and support partial removal on one side with subtotal removal on the opposite side.
How is postoperative care handled?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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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