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CPT code 60240: Thyroidectomy, total gland removal2026 Medicare rate & RVUs

Reports surgical removal of the thyroid gland, commonly for thyroid cancer, Graves disease, or multinodular goiter when the full gland is removed.

CMS RVU26DEffective Oct 1, 2026109 payment localities6.4K Medicare services in 2024

Medicare pays $829.68 for 60240 nationally in a facility.

Medicare rate · 60240

Thyroidectomy, total gland removal

Office or facility?

Work RVUs
14.66
Total RVUs
24.84
Global days
090

National rate · 2026

$829.68

Facility setting, before claim adjustments.

See every locality for 60240 →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 60240 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 60240 covers

A surgeon removes the thyroid gland, typically both lobes and the isthmus, through a neck incision. Endocrine surgeons, general surgeons, and otolaryngologists may perform the operation in a hospital or other surgical facility. Common clinical settings include thyroid cancer, Graves disease, and multinodular goiter when treatment calls for removal of the full gland. The code describes thyroid removal, not a neck dissection for involved lymph nodes.

Choose 60240 when the operative report supports removal of the full thyroid rather than one lobe or a partial excision. Document the indication, the extent of gland removal, and any accompanying neck dissection so the appropriate thyroidectomy code can be selected. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The bilateral adjustment does not apply. 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 60240 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

60240 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$755.90
AlaskaUnavailable$1,044.59
ArizonaUnavailable$807.70
ArkansasUnavailable$746.92
Atlanta, GAUnavailable$855.31
Austin, TXUnavailable$832.97
Bakersfield, CAUnavailable$822.34
Baltimore area, MDUnavailable$878.93
Beaumont, TXUnavailable$801.00
Brazoria, TXUnavailable$809.18

60240 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
60240 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 60240 rate is calculated

Each of 60240’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 · 60240

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.66

14.66 RVUs× 1.000 GPCI

Practice expense7.15

7.15 RVUs× 1.000 GPCI

Malpractice3.03

3.03 RVUs× 1.000 GPCI

Adjusted RVUs

24.8400

Conversion factor

$33.4009

Medicare rate

$829.68

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

Payment rules and modifiers for 60240

60240 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 60240

Thyroidectomy, total gland removal

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 · 60240

Thyroidectomy, total gland removal

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

60240 without 51 · national facility

$829.68

Thyroidectomy, total gland removal

60240-51 · Second procedure: 50%

$414.84

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

60240 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 60240

    Thyroidectomy, total gland removal14.66 wRVU

    Not priced

  • 60220

    Thyroid lobectomy, complete single-lobe removal10.91 wRVU

    Not priced

  • 60252

    Thyroidectomy, malignancy, limited neck dissection21.46 wRVU

    Not priced

  • 60254

    Thyroidectomy, malignancy with radical neck dissection27.71 wRVU

    Not priced

  • 60260

    Thyroidectomy, remaining tissue after prior removal17.8 wRVU

    Not priced

How to choose

60220Thyroid lobectomyComplete single-lobe removal
60220 describes removal of one thyroid lobe; 60240 is selected when the full gland is removed.
60252ThyroidectomyMalignancy, limited neck dissection
Use 60252 when thyroidectomy for malignancy includes a limited neck dissection; 60240 describes thyroid removal without that bundled dissection scope.
60254ThyroidectomyMalignancy with radical neck dissection
60254 is for thyroidectomy for malignancy with extensive neck dissection. The extent of the lymph node dissection, not simply the diagnosis of cancer, distinguishes it from 60240.
60260ThyroidectomyRemaining tissue after prior removal
60260 describes removal of the remaining thyroid tissue after an earlier partial removal. 60240 describes removal of the gland rather than a completion operation after prior thyroid surgery.

Codes related to 60240

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

Codes related to 60240
CodeHow it relatesNational office range
Same family
60220Thyroid lobectomy, complete single-lobe removalDescribes removal of one thyroid lobe rather than the full gland.No office rate
60210Thyroid surgery, partial gland removalDescribes partial excision of one thyroid lobe.No office rate
Used instead
60252Thyroidectomy, malignancy, limited neck dissectionFor thyroidectomy for malignancy when a limited neck dissection is also performed.No office rate
60254Thyroidectomy, malignancy with radical neck dissectionFor thyroidectomy for malignancy with extensive neck dissection.No office rate
60260Thyroidectomy, remaining tissue after prior removalFor removal of remaining thyroid tissue after a prior partial thyroid removal.No office rate

60240 billing questions

How is 60240 different from a thyroid lobectomy code?

Use 60240 when the operative report supports removal of the full thyroid gland. A lobectomy code describes removal of only one lobe or a partial amount of thyroid tissue.

Does 60240 include a neck dissection?

The code represents thyroid removal, not a neck dissection. When surgery for thyroid malignancy also includes lymph node dissection, compare the operative details with 60252 or 60254.

Should modifier 50 be added for removal of both thyroid lobes?

No. CMS identifies the bilateral adjustment as inapplicable to 60240; the code describes removal of the thyroid gland rather than separate bilateral procedures.

What documentation supports reporting 60240?

The operative report should establish the indication and the extent of thyroid tissue removed. It should also describe any neck dissection, since that may affect code selection.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Medicare applies the standard multiple procedure reduction when other procedures are performed in the same session.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.

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 60240PPRRVU2026_Oct_nonQPP.csv, line 6,702 (RVU26D)

Open CMS sourceHow we calculate rates

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