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.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Puerto Rico, Medicare pays $1,204.19 for 60502 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,204.19Hospital or facility

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.

We’ll open 60502 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 60502 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 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.

60502 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$1,204.19
  2. Los Angeles, CA · California$1,240.65+$36.46
  3. Washington, DC area · District of Columbia$1,320.88+$116.69
  4. Miami, FL · Florida$1,465.88+$261.69
  5. Chicago, IL · Illinois$1,419.99+$215.80
  6. Manhattan, NY · New York$1,399.09+$194.90
  7. Alaska · Alaska$1,496.93+$292.74

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

Every other payment area

60502 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
60502 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 60502 in every payment locality

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

Office or facility?

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
Facility calculation for 60502 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work20.62× 1.00020.6200
Practice expense10.52× 1.01110.6357
Malpractice4.87× 0.9854.7969
Total RVUs36.0527
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

Open 60502 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

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.

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$1,204.19RVU26D
2026-07-01Not available in this setting$1,204.19RVU26C
2026-04-01Not available in this setting$1,204.19RVU26B
2026-01-01Not available in this setting$1,204.19RVU26A
2025-10-01Not available in this setting$1,274.38RVU25D
2025-07-01Not available in this setting$1,274.38RVU25C
2025-04-01Not available in this setting$1,274.38RVU25B
2025-01-01Not available in this setting$1,274.38RVU25A
2024-10-01Not available in this setting$1,305.05RVU24D
2024-07-01Not available in this setting$1,305.05RVU24C
2024-04-01Not available in this setting$1,305.05RVU24B
2024-03-09Not available in this setting$1,305.05RVU24AR
2024-01-01Not available in this setting$1,283.75RVU24A
2023-10-01Not available in this setting$1,320.24RVU23D
2023-07-01Not available in this setting$1,319.23RVU23C
2023-04-01Not available in this setting$1,319.23RVU23B
2023-01-01Not available in this setting$1,319.23RVU23A
2022-10-01Not available in this setting$1,339.55RVU22D
2022-07-01Not available in this setting$1,339.55RVU22C
2022-04-01Not available in this setting$1,339.55RVU22B
2022-01-01Not available in this setting$1,339.55RVU22A
2021-10-01Not available in this setting$1,332.47RVU21D
2021-07-01Not available in this setting$1,332.47RVU21C
2021-04-01Not available in this setting$1,332.47RVU21B
2021-01-01Not available in this setting$1,332.47RVU21A
2020-10-01Not available in this setting$1,354.85RVU20D
2020-07-01Not available in this setting$1,354.85RVU20C
2020-04-01Not available in this setting$1,354.85RVU20B
2020-01-01Not available in this setting$1,354.85RVU20A
2019-10-01Not available in this setting$1,345.22RVU19D
2019-07-01Not available in this setting$1,345.22RVU19C
2019-04-01Not available in this setting$1,345.22RVU19B
2019-01-01Not available in this setting$1,345.22RVU19A
2018-10-01Not available in this setting$1,335.09RVU18D
2018-07-01Not available in this setting$1,335.09RVU18C
2018-04-01Not available in this setting$1,335.09RVU18B
2018-01-01Not available in this setting$1,335.09RVU18AR1
2017-10-01Not available in this setting$1,216.25RVU17D
2017-07-01Not available in this setting$1,216.25RVU17C
2017-04-01Not available in this setting$1,216.25RVU17B
2017-01-01Not available in this setting$1,216.25RVU17A
2016-10-01Not available in this setting$1,097.47RVU16D
2016-07-01Not available in this setting$1,097.47RVU16C
2016-04-01Not available in this setting$1,097.47RVU16B
2016-01-01Not available in this setting$1,097.47RVU16A
2015-10-01Not available in this setting$1,100.75RVU15D
2015-07-01Not available in this setting$1,100.75RVU15C
2015-04-01Not available in this setting$1,095.28RVU15B
2015-01-01Not available in this setting$1,095.28RVU15A
2014-10-01Not available in this setting$1,085.73RVU14D
2014-07-01Not available in this setting$1,085.73RVU14C
2014-04-01Not available in this setting$1,085.73RVU14B
2014-01-01Not available in this setting$1,085.73RVU14A
2013-10-01Not available in this setting$1,052.32RVU13D
2013-07-01Not available in this setting$1,052.32RVU13C
2013-04-01Not available in this setting$1,052.32RVU13B
2013-01-01Not available in this setting$1,052.32RVU13AR

Price 60502 for an earlier date of service

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

Browse all communities in Puerto Rico

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
RVUs for 60502PPRRVU2026_Oct_nonQPP.csv, line 6,715 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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