CPT code 60254: Thyroidectomy, malignancy with radical neck dissection2026 Medicare rate & RVUs in Minnesota

Reports complete thyroid removal for malignancy together with radical neck dissection, when both components are performed during the same operative service.

CMS RVU26DEffective Oct 1, 2026One payment locality100 Medicare services in 2024

In Minnesota, Medicare pays $1,362.65 for 60254 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,362.65Hospital or facility

Check a contract rate as a % of Medicare · 60254 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 60254 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 60254 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 60254 covers

This service combines complete removal of the thyroid gland for malignancy with a radical neck dissection. It is typically performed by an otolaryngologist or head and neck surgeon in a hospital operating room. The operative report should establish the cancer indication, the extent of thyroid removal, and the neck dissection performed; a thyroidectomy without the radical dissection does not match this service.

Select this code when the documented operation includes both components, rather than a total thyroidectomy alone or one accompanied by a limited neck dissection. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. A bilateral payment adjustment does not apply.

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 Minnesota compares for 60254

Across 109 of 109 payment localities, the facility rate for 60254 runs from $1,338.36 in Nebraska to $1,885.81 in Alaska. Minnesota pays $1,362.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

60254 in Minnesota vs other payment areas
  1. Minnesota · this page$1,362.65
  2. Los Angeles, CA · California$1,525.69+$163.04
  3. Washington, DC area · District of Columbia$1,618.65+$256.00
  4. Miami, FL · Florida$1,778.81+$416.16
  5. Chicago, IL · Illinois$1,728.76+$366.11
  6. Manhattan, NY · New York$1,709.16+$346.51
  7. Alaska · Alaska$1,885.81+$523.16

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

60254 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,355.18
ArkansasArkansas—$1,339.83
ArizonaArizona—$1,443.59
Bakersfield, CACalifornia—$1,462.85
Chico, CACalifornia—$1,447.54
El Centro, CACalifornia—$1,448.46
Fresno, CACalifornia—$1,447.54
Hanford, CACalifornia—$1,447.54

60254 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
60254 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

See 60254 in every payment locality

How the 60254 rate is calculated

Each of 60254’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 · 60254

RVUs × geographic indexes × conversion factor

Office or facility?

Work27.71

27.71 RVUs× 1.000 GPCI

Practice expense11.13

11.13 RVUs× 1.000 GPCI

Malpractice5.52

5.52 RVUs× 1.000 GPCI

Adjusted RVUs

44.3600

Conversion factor

$33.4009

Medicare rate

$1,481.66

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,704

Code
60254
Physician work
27.71
Practice expense
11.13
Malpractice
5.52

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 60254 in Minnesota
ComponentRVULocality factorAdjusted
Physician work27.71× 1.00027.7100
Practice expense11.13× 1.02911.4528
Malpractice5.52× 0.2961.6339
Total RVUs40.7967
Conversion factor× 33.4009

Facility rate, Minnesota$1362.65

Facility: (27.71 × 1 + 11.13 × 1.029 + 5.52 × 0.296) × $33.4009 = $1362.65

Open 60254 in the RVU calculator

Payment rules and modifiers for 60254

60254 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 60254

Thyroidectomy, malignancy with radical neck dissection

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 · 60254

Thyroidectomy, malignancy with radical neck dissection

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

60254 without 51 · national facility

$1,481.66

Thyroidectomy, malignancy with radical neck dissection

60254-51 · Second procedure: 50%

$740.83

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

How 60254 has changed in Minnesota

60254 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,362.65RVU26D
2026-07-01Not available in this setting$1,362.65RVU26C
2026-04-01Not available in this setting$1,362.65RVU26B
2026-01-01Not available in this setting$1,362.65RVU26A
2025-10-01Not available in this setting$1,509.40RVU25D
2025-07-01Not available in this setting$1,509.40RVU25C
2025-04-01Not available in this setting$1,509.40RVU25B
2025-01-01Not available in this setting$1,509.40RVU25A
2024-10-01Not available in this setting$1,550.66RVU24D
2024-07-01Not available in this setting$1,550.66RVU24C
2024-04-01Not available in this setting$1,550.66RVU24B
2024-03-09Not available in this setting$1,550.66RVU24AR
2024-01-01Not available in this setting$1,525.36RVU24A
2023-10-01Not available in this setting$1,582.22RVU23D
2023-07-01Not available in this setting$1,582.22RVU23C
2023-04-01Not available in this setting$1,582.22RVU23B
2023-01-01Not available in this setting$1,582.22RVU23A
2022-10-01Not available in this setting$1,597.42RVU22D
2022-07-01Not available in this setting$1,597.42RVU22C
2022-04-01Not available in this setting$1,597.42RVU22B
2022-01-01Not available in this setting$1,597.42RVU22A
2021-10-01Not available in this setting$1,592.16RVU21D
2021-07-01Not available in this setting$1,592.16RVU21C
2021-04-01Not available in this setting$1,592.16RVU21B
2021-01-01Not available in this setting$1,592.16RVU21A
2020-10-01Not available in this setting$1,627.53RVU20D
2020-07-01Not available in this setting$1,627.53RVU20C
2020-04-01Not available in this setting$1,627.53RVU20B
2020-01-01Not available in this setting$1,627.53RVU20A
2019-10-01Not available in this setting$1,623.22RVU19D
2019-07-01Not available in this setting$1,623.22RVU19C
2019-04-01Not available in this setting$1,623.22RVU19B
2019-01-01Not available in this setting$1,623.22RVU19A
2018-10-01Not available in this setting$1,608.41RVU18D
2018-07-01Not available in this setting$1,608.41RVU18C
2018-04-01Not available in this setting$1,608.41RVU18B
2018-01-01Not available in this setting$1,608.41RVU18AR1
2017-10-01Not available in this setting$1,612.90RVU17D
2017-07-01Not available in this setting$1,612.90RVU17C
2017-04-01Not available in this setting$1,612.90RVU17B
2017-01-01Not available in this setting$1,612.90RVU17A
2016-10-01Not available in this setting$1,619.78RVU16D
2016-07-01Not available in this setting$1,619.78RVU16C
2016-04-01Not available in this setting$1,619.78RVU16B
2016-01-01Not available in this setting$1,619.78RVU16A
2015-10-01Not available in this setting$1,623.17RVU15D
2015-07-01Not available in this setting$1,623.17RVU15C
2015-04-01Not available in this setting$1,615.10RVU15B
2015-01-01Not available in this setting$1,615.10RVU15A
2014-10-01Not available in this setting$1,612.90RVU14D
2014-07-01Not available in this setting$1,612.90RVU14C
2014-04-01Not available in this setting$1,612.90RVU14B
2014-01-01Not available in this setting$1,612.90RVU14A
2013-10-01Not available in this setting$1,580.23RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 60254 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

60254 billing questions

How does this differ from 60252?

60254 is selected when the malignancy operation includes a radical neck dissection. Code 60252 is for a total thyroidectomy for malignancy with a limited neck dissection.

Can I report the neck dissection separately?

The radical neck dissection is part of the service represented by 60254. Do not separately report the same dissection as an additional procedure.

When is 60240 a better choice?

Use 60240 for total or complete thyroid removal when the operation does not include the malignancy-related radical neck dissection represented by 60254.

What documentation supports 60254?

The operative report should identify malignancy as the indication and describe complete thyroid removal and the radical neck dissection actually performed.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 90-day global period.

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
RVUs for 60254PPRRVU2026_Oct_nonQPP.csv, line 6,704 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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