No office rate
Use 60220 when the whole lobe is removed. Use 60210 for partial removal of a lobe.
On this page
CMS RVU26D · Effective 2026-10-01
60220 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$632.47
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Thyroid surgery
About 60220: Unilateral total thyroid lobectomy
Reports complete removal of one thyroid lobe, with or without the isthmus, while the operation leaves the opposite lobe in place.
This operation removes an entire thyroid lobe and may include the isthmus, the bridge of tissue between the lobes. The opposite lobe remains. Surgeons perform it for conditions such as a unilateral thyroid nodule requiring surgical treatment or disease confined to one lobe. It is generally performed in an operating room by an endocrine, general, or head and neck surgeon.
Report 60220 when the operative record supports removal of the whole lobe, rather than only part of it; removal of the isthmus may be included. The note should identify the side and extent of resection. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60220
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.91 · 57%
- Practice expense (office) RVU6.13 · 32%
- Malpractice RVU2.13 · 11%
9.3K
Medicare services in 2024 · #1507 by national volume
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.
60220 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
60225 includes total removal of one lobe and subtotal removal of the opposite lobe; 60220 describes removal of one lobe alone.
No office rate
60240 describes removal of the whole thyroid. 60220 removes one lobe and leaves the opposite lobe in place.
No office rate
60200 is for a thyroid lesion or cyst excision, not removal of an entire thyroid lobe.
The same code, a different location
How does Delaware compare?
60220 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 60220
Office
Unavailable
Facility
$583.83
No comparable office rate is available.
Arkansas
Arkansas · 60220
Office
Unavailable
Facility
$576.92
No comparable office rate is available.
Arizona
Arizona · 60220
Office
Unavailable
Facility
$623.70
No comparable office rate is available.
Bakersfield
California · 60220
Office
Unavailable
Facility
$639.06
No comparable office rate is available.
Chico
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
El Centro
California · 60220
Office
Unavailable
Facility
$633.49
No comparable office rate is available.
Fresno
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Hanford-Corcoran
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Madera
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Merced
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Modesto
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Napa
California · 60220
Office
Unavailable
Facility
$693.36
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 60220
Office
Unavailable
Facility
$660.94
No comparable office rate is available.
Redding
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Rest Of California
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 60220
Office
Unavailable
Facility
$656.05
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 60220
Office
Unavailable
Facility
$653.78
No comparable office rate is available.
Salinas
California · 60220
Office
Unavailable
Facility
$651.14
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 60220
Office
Unavailable
Facility
$658.77
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 60220
Office
Unavailable
Facility
$720.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 60220
Office
Unavailable
Facility
$717.95
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 60220
Office
Unavailable
Facility
$737.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 60220
Office
Unavailable
Facility
$727.98
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 60220
Office
Unavailable
Facility
$641.94
No comparable office rate is available.
Santa Cruz-Watsonville
California · 60220
Office
Unavailable
Facility
$658.96
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 60220
Office
Unavailable
Facility
$651.48
No comparable office rate is available.
Santa Rosa-Petaluma
California · 60220
Office
Unavailable
Facility
$664.90
No comparable office rate is available.
Stockton
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Vallejo
California · 60220
Office
Unavailable
Facility
$689.87
No comparable office rate is available.
Visalia
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Yuba City
California · 60220
Office
Unavailable
Facility
$633.14
No comparable office rate is available.
Colorado
Colorado · 60220
Office
Unavailable
Facility
$642.19
No comparable office rate is available.
Connecticut
Connecticut · 60220
Office
Unavailable
Facility
$678.29
No comparable office rate is available.
Fort Lauderdale
Florida · 60220
Office
Unavailable
Facility
$700.44
No comparable office rate is available.
Rest Of Florida
Florida · 60220
Office
Unavailable
Facility
$667.07
No comparable office rate is available.
Atlanta
Georgia · 60220
Office
Unavailable
Facility
$658.96
No comparable office rate is available.
Rest Of Georgia
Georgia · 60220
Office
Unavailable
Facility
$631.84
No comparable office rate is available.
Hawaii, Guam
Hawaii · 60220
Office
Unavailable
Facility
$638.39
No comparable office rate is available.
Iowa
Iowa · 60220
Office
Unavailable
Facility
$579.99
No comparable office rate is available.
Idaho
Idaho · 60220
Office
Unavailable
Facility
$586.42
No comparable office rate is available.
East St. Louis
Illinois · 60220
Office
Unavailable
Facility
$696.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 60220
Office
Unavailable
Facility
$662.54
No comparable office rate is available.
Suburban Chicago
Illinois · 60220
Office
Unavailable
Facility
$703.30
No comparable office rate is available.
Indiana
Indiana · 60220
Office
Unavailable
Facility
$588.78
No comparable office rate is available.
Kansas
Kansas · 60220
Office
Unavailable
Facility
$585.35
No comparable office rate is available.
Kentucky
Kentucky · 60220
Office
Unavailable
Facility
$611.52
No comparable office rate is available.
New Orleans
Louisiana · 60220
Office
Unavailable
Facility
$637.89
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 60220
Office
Unavailable
Facility
$613.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 60220
Office
Unavailable
Facility
$687.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 60220
Office
Unavailable
Facility
$642.54
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 60220
Office
Unavailable
Facility
$677.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 60220
Office
Unavailable
Facility
$640.56
No comparable office rate is available.
Rest Of Maine
Maine · 60220
Office
Unavailable
Facility
$597.02
No comparable office rate is available.
Southern Maine
Maine · 60220
Office
Unavailable
Facility
$612.20
No comparable office rate is available.
Detroit
Michigan · 60220
Office
Unavailable
Facility
$681.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 60220
Office
Unavailable
Facility
$631.66
No comparable office rate is available.
Minnesota
Minnesota · 60220
Office
Unavailable
Facility
$596.15
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 60220
Office
Unavailable
Facility
$626.17
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 60220
Office
Unavailable
Facility
$630.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 60220
Office
Unavailable
Facility
$610.19
No comparable office rate is available.
Mississippi
Mississippi · 60220
Office
Unavailable
Facility
$593.27
No comparable office rate is available.
Montana**
Montana · 60220
Office
Unavailable
Facility
$640.15
No comparable office rate is available.
North Carolina
North Carolina · 60220
Office
Unavailable
Facility
$600.89
No comparable office rate is available.
North Dakota**
North Dakota · 60220
Office
Unavailable
Facility
$598.04
No comparable office rate is available.
Nebraska
Nebraska · 60220
Office
Unavailable
Facility
$580.28
No comparable office rate is available.
New Hampshire
New Hampshire · 60220
Office
Unavailable
Facility
$639.80
No comparable office rate is available.
Northern Nj
New Jersey · 60220
Office
Unavailable
Facility
$700.85
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 60220
Office
Unavailable
Facility
$680.61
No comparable office rate is available.
New Mexico
New Mexico · 60220
Office
Unavailable
Facility
$637.60
No comparable office rate is available.
Nevada**
Nevada · 60220
Office
Unavailable
Facility
$628.62
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 60220
Office
Unavailable
Facility
$763.28
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 60220
Office
Unavailable
Facility
$691.08
No comparable office rate is available.
Queens
New York · 60220
Office
Unavailable
Facility
$732.33
No comparable office rate is available.
Rest Of New York
New York · 60220
Office
Unavailable
Facility
$608.93
No comparable office rate is available.
Ohio
Ohio · 60220
Office
Unavailable
Facility
$623.05
No comparable office rate is available.
Oklahoma
Oklahoma · 60220
Office
Unavailable
Facility
$602.52
No comparable office rate is available.
Portland
Oregon · 60220
Office
Unavailable
Facility
$650.64
No comparable office rate is available.
Rest Of Oregon
Oregon · 60220
Office
Unavailable
Facility
$618.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 60220
Office
Unavailable
Facility
$668.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 60220
Office
Unavailable
Facility
$619.59
No comparable office rate is available.
Puerto Rico
Puerto Rico · 60220
Office
Unavailable
Facility
$641.48
No comparable office rate is available.
Rhode Island
Rhode Island · 60220
Office
Unavailable
Facility
$646.29
No comparable office rate is available.
South Carolina
South Carolina · 60220
Office
Unavailable
Facility
$614.06
No comparable office rate is available.
South Dakota**
South Dakota · 60220
Office
Unavailable
Facility
$593.06
No comparable office rate is available.
Tennessee
Tennessee · 60220
Office
Unavailable
Facility
$588.72
No comparable office rate is available.
Austin
Texas · 60220
Office
Unavailable
Facility
$644.79
No comparable office rate is available.
Beaumont
Texas · 60220
Office
Unavailable
Facility
$616.82
No comparable office rate is available.
Brazoria
Texas · 60220
Office
Unavailable
Facility
$625.72
No comparable office rate is available.
Dallas
Texas · 60220
Office
Unavailable
Facility
$632.65
No comparable office rate is available.
Fort Worth
Texas · 60220
Office
Unavailable
Facility
$631.53
No comparable office rate is available.
Galveston
Texas · 60220
Office
Unavailable
Facility
$629.54
No comparable office rate is available.
Houston
Texas · 60220
Office
Unavailable
Facility
$668.53
No comparable office rate is available.
Rest Of Texas
Texas · 60220
Office
Unavailable
Facility
$622.95
No comparable office rate is available.
Utah
Utah · 60220
Office
Unavailable
Facility
$620.75
No comparable office rate is available.
Virginia
Virginia · 60220
Office
Unavailable
Facility
$615.90
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 60220
Office
Unavailable
Facility
$641.48
No comparable office rate is available.
Vermont
Vermont · 60220
Office
Unavailable
Facility
$603.10
No comparable office rate is available.
Rest Of Washington
Washington · 60220
Office
Unavailable
Facility
$638.88
No comparable office rate is available.
Seattle (King Cnty)
Washington · 60220
Office
Unavailable
Facility
$691.97
No comparable office rate is available.
Wisconsin
Wisconsin · 60220
Office
Unavailable
Facility
$582.46
No comparable office rate is available.
West Virginia
West Virginia · 60220
Office
Unavailable
Facility
$644.14
No comparable office rate is available.
Wyoming**
Wyoming · 60220
Office
Unavailable
Facility
$621.80
No comparable office rate is available.
See how rates vary across the country
60220 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 60220 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$695.72
$632.47 × 110% = $695.72
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 60220 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,700
- Code
- 60220
- Physician work
- 10.91
- Practice expense
- 6.13
- Malpractice
- 2.13
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.91 | × 1.005 | 10.9645 |
| Practice expense | 6.13 | × 0.988 | 6.0564 |
| Malpractice | 2.13 | × 0.899 | 1.9149 |
| Total RVUs | 18.9359 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$632.47
Open 60220 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.91 | 1.005 |
| Practice expense | 6.13 | 0.988 |
| Malpractice | 2.13 | 0.899 |
(10.91 × 1.005 + 6.13 × 0.988 + 2.13 × 0.899) × $33.4009 = $632.47
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
60220 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $632.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $632.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $632.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $632.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $689.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $689.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $689.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $689.87 | RVU25A |
60220 billing questions
How does 60220 differ from 60210?
60220 is for removal of the entire thyroid lobe. Use 60210 when the surgeon removes only part of the lobe.
Is removal of the isthmus included?
Yes. Removal of the isthmus may be part of the unilateral lobectomy reported with 60220; it does not by itself make the procedure a total thyroidectomy.
Can modifier 50 be used when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code. When the operation removes both lobes, select the code that describes the actual extent of thyroid removal instead.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens if another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,6976020F,,Npo (nothing-mouth) ordered,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,69860210,,Partial thyroid excision,A,,10.95,6.15,NA,6.15,,2.28,19.38,19.38,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,69960212,,Partial thyroid excision,A,,16.02,8.83,NA,8.83,,4.28,29.13,29.13,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70060220,,Partial removal of thyroid,A,,10.91,6.13,NA,6.13,,2.13,19.17,19.17,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70160225,,Partial removal of thyroid,A,,14.42,8.11,NA,8.11,,2.90,25.43,25.43,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70260240,,Removal of thyroid,A,,14.66,7.15,NA,7.15,,3.03,24.84,24.84,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70360252,,Removal of thyroid,A,,21.46,9.56,NA,9.56,,4.27,35.29,35.29,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503