FeeBase
Log inGet started
Menu

CPT code 60225: Thyroid surgery, total one side, subtotal opposite2026 Medicare rate & RVUs

Reports complete removal of one thyroid lobe with partial removal of the opposite lobe, such as for bilateral nodular thyroid disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities227 Medicare services in 2024

Medicare pays $849.38 for 60225 nationally in a facility.

Medicare rate · 60225

Thyroid surgery, total one side, subtotal opposite

Office or facility?

Work RVUs
14.42
Total RVUs
25.43
Global days
090

National rate · 2026

$849.38

Facility setting, before claim adjustments.

See every locality for 60225 →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 60225 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 60225 covers

The surgeon removes an entire thyroid lobe and part, but not all, of the lobe on the other side. This operation may be selected for bilateral nodular disease when the planned resection differs between sides. It is generally performed in an operating room by a surgeon treating thyroid disease, often in a hospital or other facility setting.

Report one unit for the combined operation, supported by an operative note identifying the side and extent of resection on each side. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. 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% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require 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 60225 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

60225 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$773.49
AlaskaUnavailable$1,064.32
ArizonaUnavailable$827.04
ArkansasUnavailable$764.21
Atlanta, GAUnavailable$874.63
Austin, TXUnavailable$855.02
Bakersfield, CAUnavailable$846.67
Baltimore area, MDUnavailable$899.82
Beaumont, TXUnavailable$818.13
Brazoria, TXUnavailable$829.49

60225 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.

View every state and territory as a table
60225 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 60225 rate is calculated

Each of 60225’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 · 60225

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.42

14.42 RVUs× 1.000 GPCI

Practice expense8.11

8.11 RVUs× 1.000 GPCI

Malpractice2.90

2.90 RVUs× 1.000 GPCI

Adjusted RVUs

25.4300

Conversion factor

$33.4009

Medicare rate

$849.38

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

Payment rules and modifiers for 60225

60225 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 60225

Thyroid surgery, total one side, subtotal opposite

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 · 60225

Thyroid surgery, total one side, subtotal opposite

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

60225 without 51 · national facility

$849.38

Thyroid surgery, total one side, subtotal opposite

60225-51 · Second procedure: 50%

$424.69

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

60225 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 60225

    Thyroid surgery, total one side, subtotal opposite14.42 wRVU

    Not priced

  • 60220

    Thyroid lobectomy, complete single-lobe removal10.91 wRVU

    Not priced

  • 60212

    Thyroid surgery, partial plus contralateral subtotal16.02 wRVU

    Not priced

  • 60240

    Thyroidectomy, total gland removal14.66 wRVU

    Not priced

How to choose

60220Thyroid lobectomyComplete single-lobe removal
60220 covers complete removal of one lobe, with or without the isthmus. Choose 60225 when a subtotal resection is also performed on the opposite side.
60212Thyroid surgeryPartial plus contralateral subtotal
Both codes include subtotal resection on the opposite side. 60212 has partial removal on the first side, while 60225 has complete removal there.
60240ThyroidectomyTotal gland removal
60240 represents removal of the entire thyroid. 60225 leaves thyroid tissue on the side treated with a subtotal resection.

Codes related to 60225

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

Codes related to 60225
CodeHow it relatesNational office range
Same family
60212Thyroid surgery, partial plus contralateral subtotalCombines partial lobectomy on one side with subtotal resection on the opposite side.No office rate
60220Thyroid lobectomy, complete single-lobe removalCovers complete removal of one lobe without the opposite-side subtotal resection.No office rate
60210Thyroid surgery, partial gland removalA partial-lobectomy option for unilateral thyroid resection.No office rate
Used instead
60240Thyroidectomy, total gland removalUsed for complete thyroid removal rather than leaving a subtotal portion on the opposite side.No office rate
60252Thyroidectomy, malignancy, limited neck dissectionThyroidectomy code for malignancy with limited neck dissection.No office rate

60225 billing questions

How does this differ from 60220?

60220 describes complete removal of one thyroid lobe, with or without the isthmus. Use 60225 when the opposite lobe is also partially removed.

When is 60212 a closer fit?

60212 describes partial removal on one side with subtotal removal on the opposite side. The distinction is whether the first-side lobectomy is total or partial.

Should modifier 50 be appended because both sides are operated on?

No. CMS identifies bilateral adjustment as inappropriate for this code; the opposite-side resection is already part of the described operation.

What should the operative note document?

Document which lobe was completely removed and how much thyroid tissue was removed from the opposite lobe. This supports choosing 60225 rather than a one-sided or partial-lobectomy code.

How is the 90-day global period applied?

The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.

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 60225PPRRVU2026_Oct_nonQPP.csv, line 6,701 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 60225 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 60225 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist