CPT code 60502: Parathyroid exploration, re-exploration2026 Medicare rate & RVUs in Puerto Rico
Reports a return operation to explore previously operated parathyroid anatomy, typically for persistent or recurrent hyperparathyroidism after earlier neck surgery.
In Puerto Rico, Medicare pays $1,204.19 for 60502 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 60502 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 60502 covers
An endocrine or head-and-neck surgeon re-enters a previously operated neck to locate and assess parathyroid tissue in a scarred operative field. The service is generally performed in a hospital operating room when hyperparathyroidism persists or returns after prior parathyroid surgery. The operative work may involve identifying residual or ectopic parathyroid tissue and treating the source found during the re-exploration.
Choose this code when the current operation is a re-exploration, rather than an initial exploration of the parathyroid glands. The operative report should establish the prior parathyroid operation, the reason for returning to the neck, the exploration performed, and the findings and treatment. 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 the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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.
How Puerto Rico compares for 60502
Across 109 of 109 payment localities, the facility rate for 60502 runs from $1,074.33 in Arkansas to $1,496.93 in Alaska. Puerto Rico pays $1,204.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,204.19
- Los Angeles, CA · California$1,240.65+$36.46
- Washington, DC area · District of Columbia$1,320.88+$116.69
- Miami, FL · Florida$1,465.88+$261.69
- Chicago, IL · Illinois$1,419.99+$215.80
- Manhattan, NY · New York$1,399.09+$194.90
- Alaska · Alaska$1,496.93+$292.74
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,088.25 |
| ArkansasArkansas | — | $1,074.33 |
| ArizonaArizona | — | $1,168.45 |
| Bakersfield, CACalifornia | — | $1,185.98 |
| Chico, CACalifornia | — | $1,172.73 |
| El Centro, CACalifornia | — | $1,173.54 |
| Fresno, CACalifornia | — | $1,172.73 |
| Hanford, CACalifornia | — | $1,172.73 |
| Madera, CACalifornia | — | $1,172.73 |
| Merced, CACalifornia | — | $1,172.73 |
| Modesto, CACalifornia | — | $1,172.73 |
| Napa, CACalifornia | — | $1,277.86 |
| Oxnard, CACalifornia | — | $1,224.68 |
| Redding, CACalifornia | — | $1,172.73 |
| Rest of CaliforniaCalifornia | — | $1,172.73 |
| Riverside, CACalifornia | — | $1,224.98 |
| Sacramento, CACalifornia | — | $1,209.36 |
| Salinas, CACalifornia | — | $1,204.51 |
| San Diego, CACalifornia | — | $1,217.80 |
| Marin County, CACalifornia | — | $1,324.26 |
| San Francisco, CACalifornia | — | $1,318.73 |
| San Benito County, CACalifornia | — | $1,358.36 |
| Santa Clara County, CACalifornia | — | $1,335.75 |
| San Luis Obispo, CACalifornia | — | $1,187.84 |
| Santa Cruz, CACalifornia | — | $1,217.30 |
| Santa Maria, CACalifornia | — | $1,204.90 |
| Santa Rosa, CACalifornia | — | $1,228.07 |
| Stockton, CACalifornia | — | $1,172.73 |
| Vallejo, CACalifornia | — | $1,269.89 |
| Visalia, CACalifornia | — | $1,172.73 |
| Yuba City, CACalifornia | — | $1,172.73 |
| ColoradoColorado | — | $1,197.90 |
| ConnecticutConnecticut | — | $1,277.76 |
| DelawareDelaware | — | $1,185.56 |
| Fort Lauderdale, FLFlorida | — | $1,338.77 |
| Rest of FloridaFlorida | — | $1,269.12 |
| Atlanta, GAGeorgia | — | $1,243.15 |
| Rest of GeorgiaGeorgia | — | $1,196.05 |
| Hawaii, Guam, HIHawaii | — | $1,182.42 |
| IowaIowa | — | $1,074.81 |
| IdahoIdaho | — | $1,088.93 |
| East St. Louis, ILIllinois | — | $1,339.60 |
| Rest of IllinoisIllinois | — | $1,263.78 |
| Suburban Chicago, ILIllinois | — | $1,342.65 |
| IndianaIndiana | — | $1,093.51 |
| KansasKansas | — | $1,088.35 |
| KentuckyKentucky | — | $1,149.94 |
| New Orleans, LALouisiana | — | $1,204.16 |
| Rest of LouisianaLouisiana | — | $1,155.53 |
| Metropolitan Boston, MAMassachusetts | — | $1,281.28 |
| Rest of MassachusettsMassachusetts | — | $1,199.39 |
| Baltimore area, MDMaryland | — | $1,277.99 |
| Rest of MarylandMaryland | — | $1,200.53 |
| Rest of MaineMaine | — | $1,113.17 |
| Southern Maine, MEMaine | — | $1,139.58 |
| Detroit, MIMichigan | — | $1,302.05 |
| Rest of MichiganMichigan | — | $1,193.18 |
| MinnesotaMinnesota | — | $1,098.44 |
| Metropolitan Kansas City, MOMissouri | — | $1,177.59 |
| Metropolitan St. Louis, MOMissouri | — | $1,186.23 |
| Rest of MissouriMissouri | — | $1,150.05 |
| MississippiMississippi | — | $1,111.47 |
| MontanaMontana | — | $1,202.44 |
| North CarolinaNorth Carolina | — | $1,120.50 |
| North DakotaNorth Dakota | — | $1,106.14 |
| NebraskaNebraska | — | $1,074.53 |
| New HampshireNew Hampshire | — | $1,196.84 |
| Northern New JerseyNew Jersey | — | $1,313.44 |
| Rest of New JerseyNew Jersey | — | $1,278.42 |
| New MexicoNew Mexico | — | $1,206.30 |
| NevadaNevada | — | $1,175.95 |
| NYC suburbs and Long Island, NYNew York | — | $1,452.66 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,301.30 |
| Queens, NYNew York | — | $1,382.69 |
| Rest of New YorkNew York | — | $1,136.89 |
| OhioOhio | — | $1,173.50 |
| OklahomaOklahoma | — | $1,128.90 |
| Portland, OROregon | — | $1,211.15 |
| Rest of OregonOregon | — | $1,153.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,260.96 |
| Rest of PennsylvaniaPennsylvania | — | $1,165.01 |
| Rhode IslandRhode Island | — | $1,209.88 |
| South CarolinaSouth Carolina | — | $1,151.66 |
| South DakotaSouth Dakota | — | $1,094.76 |
| TennesseeTennessee | — | $1,095.48 |
| Austin, TXTexas | — | $1,205.98 |
| Beaumont, TXTexas | — | $1,159.59 |
| Brazoria, TXTexas | — | $1,169.33 |
| Dallas, TXTexas | — | $1,184.46 |
| Fort Worth, TXTexas | — | $1,183.06 |
| Galveston, TXTexas | — | $1,177.84 |
| Houston, TXTexas | — | $1,266.98 |
| Rest of TexasTexas | — | $1,169.07 |
| UtahUtah | — | $1,165.09 |
| VirginiaVirginia | — | $1,148.97 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,204.19 |
| VermontVermont | — | $1,118.90 |
| Rest of WashingtonWashington | — | $1,191.47 |
| King County, WAWashington | — | $1,287.20 |
| WisconsinWisconsin | — | $1,075.45 |
| West VirginiaWest Virginia | — | $1,226.84 |
| WyomingWyoming | — | $1,160.47 |
60502 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 60502 rate is calculated
Each of 60502’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 · 60502
RVUs × geographic indexes × conversion factor
Work20.62
20.62 RVUs× 1.000 GPCI
Practice expense10.52
10.52 RVUs× 1.000 GPCI
Malpractice4.87
4.87 RVUs× 1.000 GPCI
Adjusted RVUs
36.0100
Conversion factor
$33.4009
Medicare rate
$1,202.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,715
- Code
- 60502
- Physician work
- 20.62
- Practice expense
- 10.52
- Malpractice
- 4.87
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.62 | × 1.000 | 20.6200 |
| Practice expense | 10.52 | × 1.011 | 10.6357 |
| Malpractice | 4.87 | × 0.985 | 4.7969 |
| Total RVUs | 36.0527 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$1204.19
Facility: (20.62 × 1 + 10.52 × 1.011 + 4.87 × 0.985) × $33.4009 = $1204.19
Payment rules and modifiers for 60502
60502 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 60502
Parathyroid exploration, re-exploration
| 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 · 60502
Parathyroid exploration, re-exploration
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
60502 without 51 · national facility
$1,202.77
Parathyroid exploration, re-exploration
60502-51 · Second procedure: 50%
$601.39
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 60502 has changed in Puerto Rico
60502 · 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 | $1,204.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,204.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,204.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,204.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,274.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,274.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,274.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,274.38 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,305.05 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,305.05 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,305.05 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,305.05 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,283.75 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,320.24 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,319.23 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,319.23 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,319.23 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,339.55 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,339.55 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,339.55 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,339.55 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,332.47 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,332.47 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,332.47 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,332.47 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,354.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,354.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,354.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,354.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,345.22 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,345.22 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,345.22 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,345.22 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,335.09 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,335.09 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,335.09 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,335.09 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,216.25 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,216.25 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,216.25 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,216.25 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,097.47 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,097.47 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,097.47 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,097.47 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,100.75 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,100.75 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,095.28 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,095.28 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,085.73 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,085.73 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,085.73 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,085.73 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,052.32 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,052.32 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,052.32 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,052.32 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
60502 billing questions
When should 60502 be chosen instead of 60500?
Use 60502 for a return exploration after prior parathyroid surgery. Code 60500 describes an initial exploration, not a re-exploration.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the multiple procedure reduction are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting a re-exploration?
Document the earlier parathyroid operation, the clinical reason for returning to the neck, and the re-exploration and treatment performed.
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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