CPT code 60512: Parathyroid transplant, autotransplantation2026 Medicare rate & RVUs in California
Report parathyroid autotransplantation when a surgeon implants parathyroid tissue during an eligible parathyroid operation, commonly after removal or loss of blood supply.
CMS doesn’t publish an office rate for 60512 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 60512 covers
During neck surgery, the surgeon may implant parathyroid tissue when a gland is removed or its blood supply is compromised. The tissue is usually divided into small fragments and placed in a muscle pocket, commonly in the neck. Endocrine and head-and-neck surgeons typically perform this work in the operating room as part of parathyroid exploration or re-exploration.
Report 60512 only with an eligible primary procedure, such as parathyroid exploration, re-exploration, or exploration with mediastinal exploration. The operative note should identify why tissue was transplanted, the tissue implanted, and the implantation site, along with the primary operation. CMS treats this as an add-on code: it is billed with the primary procedure and paid within that procedure’s global period, rather than as a standalone service.
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 60512 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $205.42 |
| Chico, CA | Unavailable | $202.91 |
| El Centro, CA | Unavailable | $203.06 |
| Fresno, CA | Unavailable | $202.91 |
| Hanford, CA | Unavailable | $202.91 |
| Los Angeles, CA | Unavailable | $213.41 |
| Madera, CA | Unavailable | $202.91 |
| Marin County, CA | Unavailable | $223.18 |
| Merced, CA | Unavailable | $202.91 |
| Modesto, CA | Unavailable | $202.91 |
| Napa, CA | Unavailable | $216.72 |
| Oxnard, CA | Unavailable | $210.25 |
| Redding, CA | Unavailable | $202.91 |
| Rest of California | Unavailable | $202.91 |
| Riverside, CA | Unavailable | $212.69 |
| Sacramento, CA | Unavailable | $208.08 |
| Salinas, CA | Unavailable | $207.21 |
| San Benito County, CA | Unavailable | $228.84 |
| San Diego, CA | Unavailable | $208.58 |
| San Francisco, CA | Unavailable | $222.15 |
| San Luis Obispo, CA | Unavailable | $204.46 |
| Santa Clara County, CA | Unavailable | $224.62 |
| Santa Cruz, CA | Unavailable | $207.78 |
| Santa Maria, CA | Unavailable | $207.03 |
| Santa Rosa, CA | Unavailable | $209.55 |
| Stockton, CA | Unavailable | $202.91 |
| Vallejo, CA | Unavailable | $215.23 |
| Visalia, CA | Unavailable | $202.91 |
| Yuba City, CA | Unavailable | $202.91 |
How the 60512 rate is calculated
Each of 60512’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 · 60512
RVUs × geographic indexes × conversion factor
Work4.33
4.33 RVUs× 1.000 GPCI
Practice expense1.08
1.08 RVUs× 1.000 GPCI
Malpractice0.91
0.91 RVUs× 1.000 GPCI
Adjusted RVUs
6.3200
Conversion factor
$33.4009
Medicare rate
$211.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 60512
The CMS indicators that decide how 60512 is paid alongside other services.
CMS payment indicators · 60512
Parathyroid transplant, autotransplantation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
60512 without 80 · national facility
$211.09
Parathyroid transplant, autotransplantation
60512-80 · Assistant: 16%
$33.77
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
60512 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 60500Parathyroid surgeryCervical approach
- 60500 represents parathyroid exploration. Add 60512 only when parathyroid tissue is also transplanted during the eligible primary operation.
- 60502Parathyroid explorationRe-exploration
- 60502 is for re-exploration of the parathyroid region. It may serve as the primary procedure for 60512 when tissue autotransplantation is performed.
- 60505Parathyroid explorationMediastinal exploration
- 60505 describes parathyroid exploration involving mediastinal exploration. It is the primary procedure; 60512 separately identifies parathyroid tissue transplantation performed with it.
60512 billing questions
When is 60512 appropriate during parathyroid surgery?
Report it when the surgeon actually transplants parathyroid tissue, often because a gland was removed or its blood supply was compromised. Exploration or gland removal alone does not describe the transplantation service.
Which primary procedure can be reported with 60512?
It is an add-on to eligible parathyroid procedures, including 60500, 60502, and 60505. Do not report it by itself.
What documentation supports 60512?
The operative report should describe the reason for transplantation, the parathyroid tissue implanted, and where it was placed, as well as the associated primary procedure.
Does 60512 have a separate global period?
No. CMS identifies it as an add-on paid within the primary procedure’s global period.
Is 60512 reported for parathyroid exploration alone?
No. The code represents transplantation of parathyroid tissue, not exploration, identification, or removal without implantation.
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
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