CPT code 60225: Thyroid surgery, total one side, subtotal opposite2026 Medicare rate & RVUs in North Carolina
Reports complete removal of one thyroid lobe with partial removal of the opposite lobe, such as for bilateral nodular thyroid disease.
In North Carolina, Medicare pays $796.27 for 60225 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 60225 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How North Carolina compares for 60225
Across 109 of 109 payment localities, the facility rate for 60225 runs from $764.21 in Arkansas to $1,064.32 in Alaska. North Carolina pays $796.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$796.27
- Los Angeles, CA · California$886.16+$89.89
- Washington, DC area · District of Columbia$934.56+$138.29
- Miami, FL · Florida$1,008.59+$212.32
- Chicago, IL · Illinois$979.55+$183.28
- Manhattan, NY · New York$980.85+$184.58
- Alaska · Alaska$1,064.32+$268.05
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $773.49 |
| ArkansasArkansas | — | $764.21 |
| ArizonaArizona | — | $827.04 |
| Bakersfield, CACalifornia | — | $846.67 |
| Chico, CACalifornia | — | $838.63 |
| El Centro, CACalifornia | — | $839.12 |
| Fresno, CACalifornia | — | $838.63 |
| Hanford, CACalifornia | — | $838.63 |
| Madera, CACalifornia | — | $838.63 |
| Merced, CACalifornia | — | $838.63 |
| Modesto, CACalifornia | — | $838.63 |
| Napa, CACalifornia | — | $918.21 |
| Oxnard, CACalifornia | — | $875.65 |
| Redding, CACalifornia | — | $838.63 |
| Rest of CaliforniaCalifornia | — | $838.63 |
| Riverside, CACalifornia | — | $869.82 |
| Sacramento, CACalifornia | — | $865.93 |
| Salinas, CACalifornia | — | $862.44 |
| San Diego, CACalifornia | — | $872.56 |
| Marin County, CACalifornia | — | $953.80 |
| San Francisco, CACalifornia | — | $950.51 |
| San Benito County, CACalifornia | — | $977.15 |
| Santa Clara County, CACalifornia | — | $963.69 |
| San Luis Obispo, CACalifornia | — | $850.28 |
| Santa Cruz, CACalifornia | — | $872.79 |
| Santa Maria, CACalifornia | — | $862.89 |
| Santa Rosa, CACalifornia | — | $880.65 |
| Stockton, CACalifornia | — | $838.63 |
| Vallejo, CACalifornia | — | $913.47 |
| Visalia, CACalifornia | — | $838.63 |
| Yuba City, CACalifornia | — | $838.63 |
| ColoradoColorado | — | $851.29 |
| ConnecticutConnecticut | — | $900.22 |
| DelawareDelaware | — | $838.76 |
| Fort Lauderdale, FLFlorida | — | $931.17 |
| Rest of FloridaFlorida | — | $886.19 |
| Atlanta, GAGeorgia | — | $874.63 |
| Rest of GeorgiaGeorgia | — | $838.73 |
| Hawaii, Guam, HIHawaii | — | $845.72 |
| IowaIowa | — | $767.95 |
| IdahoIdaho | — | $776.67 |
| East St. Louis, ILIllinois | — | $925.93 |
| Rest of IllinoisIllinois | — | $880.35 |
| Suburban Chicago, ILIllinois | — | $934.85 |
| IndianaIndiana | — | $779.82 |
| KansasKansas | — | $775.34 |
| KentuckyKentucky | — | $811.08 |
| New Orleans, LALouisiana | — | $846.58 |
| Rest of LouisianaLouisiana | — | $814.17 |
| Metropolitan Boston, MAMassachusetts | — | $911.03 |
| Rest of MassachusettsMassachusetts | — | $851.78 |
| Baltimore area, MDMaryland | — | $899.82 |
| Rest of MarylandMaryland | — | $849.51 |
| Rest of MaineMaine | — | $791.10 |
| Southern Maine, MEMaine | — | $811.20 |
| Detroit, MIMichigan | — | $906.35 |
| Rest of MichiganMichigan | — | $838.31 |
| MinnesotaMinnesota | — | $789.05 |
| Metropolitan Kansas City, MOMissouri | — | $830.63 |
| Metropolitan St. Louis, MOMissouri | — | $836.58 |
| Rest of MissouriMissouri | — | $809.48 |
| MississippiMississippi | — | $786.45 |
| MontanaMontana | — | $849.19 |
| North DakotaNorth Dakota | — | $791.85 |
| NebraskaNebraska | — | $768.28 |
| New HampshireNew Hampshire | — | $848.38 |
| Northern New JerseyNew Jersey | — | $929.66 |
| Rest of New JerseyNew Jersey | — | $902.97 |
| New MexicoNew Mexico | — | $846.37 |
| NevadaNevada | — | $833.48 |
| NYC suburbs and Long Island, NYNew York | — | $1,014.42 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $917.13 |
| Queens, NYNew York | — | $972.32 |
| Rest of New YorkNew York | — | $807.07 |
| OhioOhio | — | $826.59 |
| OklahomaOklahoma | — | $798.80 |
| Portland, OROregon | — | $862.36 |
| Rest of OregonOregon | — | $819.53 |
| Metropolitan Philadelphia, PAPennsylvania | — | $887.86 |
| Rest of PennsylvaniaPennsylvania | — | $821.85 |
| Puerto RicoPuerto Rico | — | $850.91 |
| Rhode IslandRhode Island | — | $857.01 |
| South CarolinaSouth Carolina | — | $814.27 |
| South DakotaSouth Dakota | — | $785.07 |
| TennesseeTennessee | — | $779.89 |
| Austin, TXTexas | — | $855.02 |
| Beaumont, TXTexas | — | $818.13 |
| Brazoria, TXTexas | — | $829.49 |
| Dallas, TXTexas | — | $838.88 |
| Fort Worth, TXTexas | — | $837.43 |
| Galveston, TXTexas | — | $834.68 |
| Houston, TXTexas | — | $887.76 |
| Rest of TexasTexas | — | $826.17 |
| UtahUtah | — | $823.25 |
| VirginiaVirginia | — | $816.30 |
| Virgin Islands, VIUnited States Virgin Islands | — | $850.91 |
| VermontVermont | — | $798.83 |
| Rest of WashingtonWashington | — | $846.85 |
| King County, WAWashington | — | $917.23 |
| WisconsinWisconsin | — | $770.98 |
| West VirginiaWest Virginia | — | $855.65 |
| WyomingWyoming | — | $824.20 |
60225 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,701
- Code
- 60225
- Physician work
- 14.42
- Practice expense
- 8.11
- Malpractice
- 2.90
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.42 | × 1.000 | 14.4200 |
| Practice expense | 8.11 | × 0.933 | 7.5666 |
| Malpractice | 2.90 | × 0.639 | 1.8531 |
| Total RVUs | 23.8397 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$796.27
Facility: (14.42 × 1 + 8.11 × 0.933 + 2.9 × 0.639) × $33.4009 = $796.27
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
| 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 · 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.
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%).
How 60225 has changed in North Carolina
60225 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $796.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $796.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $796.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $796.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $861.71 | RVU25D |
| 2025-07-01 | Not available in this setting | $861.71 | RVU25C |
| 2025-04-01 | Not available in this setting | $861.71 | RVU25B |
| 2025-01-01 | Not available in this setting | $861.71 | RVU25A |
| 2024-10-01 | Not available in this setting | $882.85 | RVU24D |
| 2024-07-01 | Not available in this setting | $882.85 | RVU24C |
| 2024-04-01 | Not available in this setting | $882.85 | RVU24B |
| 2024-03-09 | Not available in this setting | $882.85 | RVU24AR |
| 2024-01-01 | Not available in this setting | $868.44 | RVU24A |
| 2023-10-01 | Not available in this setting | $899.17 | RVU23D |
| 2023-07-01 | Not available in this setting | $899.17 | RVU23C |
| 2023-04-01 | Not available in this setting | $899.17 | RVU23B |
| 2023-01-01 | Not available in this setting | $899.17 | RVU23A |
| 2022-10-01 | Not available in this setting | $920.98 | RVU22D |
| 2022-07-01 | Not available in this setting | $920.98 | RVU22C |
| 2022-04-01 | Not available in this setting | $920.98 | RVU22B |
| 2022-01-01 | Not available in this setting | $920.98 | RVU22A |
| 2021-10-01 | Not available in this setting | $912.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $912.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $912.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $912.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $922.42 | RVU20D |
| 2020-07-01 | Not available in this setting | $922.42 | RVU20C |
| 2020-04-01 | Not available in this setting | $922.42 | RVU20B |
| 2020-01-01 | Not available in this setting | $922.42 | RVU20A |
| 2019-10-01 | Not available in this setting | $911.50 | RVU19D |
| 2019-07-01 | Not available in this setting | $911.50 | RVU19C |
| 2019-04-01 | Not available in this setting | $911.50 | RVU19B |
| 2019-01-01 | Not available in this setting | $911.50 | RVU19A |
| 2018-10-01 | Not available in this setting | $905.89 | RVU18D |
| 2018-07-01 | Not available in this setting | $905.89 | RVU18C |
| 2018-04-01 | Not available in this setting | $905.89 | RVU18B |
| 2018-01-01 | Not available in this setting | $905.89 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $911.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $911.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $911.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $911.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $918.02 | RVU16D |
| 2016-07-01 | Not available in this setting | $918.02 | RVU16C |
| 2016-04-01 | Not available in this setting | $918.02 | RVU16B |
| 2016-01-01 | Not available in this setting | $918.02 | RVU16A |
| 2015-10-01 | Not available in this setting | $919.78 | RVU15D |
| 2015-07-01 | Not available in this setting | $919.78 | RVU15C |
| 2015-04-01 | Not available in this setting | $915.20 | RVU15B |
| 2015-01-01 | Not available in this setting | $915.20 | RVU15A |
| 2014-10-01 | Not available in this setting | $907.06 | RVU14D |
| 2014-07-01 | Not available in this setting | $907.06 | RVU14C |
| 2014-04-01 | Not available in this setting | $907.06 | RVU14B |
| 2014-01-01 | Not available in this setting | $907.06 | RVU14A |
| 2013-10-01 | Not available in this setting | $891.11 | RVU13D |
| 2013-07-01 | Not available in this setting | $891.11 | RVU13C |
| 2013-04-01 | Not available in this setting | $891.11 | RVU13B |
| 2013-01-01 | Not available in this setting | $891.11 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
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