No office rate
60220 describes removal of one thyroid lobe; 60240 is selected when the full gland is removed.
On this page
CMS RVU26D · Effective 2026-10-01
60240 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$819.04
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.
Endocrine surgery
About 60240: Total thyroid gland removal
Reports surgical removal of the thyroid gland, commonly for thyroid cancer, Graves disease, or multinodular goiter when the full gland is removed.
A surgeon removes the thyroid gland, typically both lobes and the isthmus, through a neck incision. Endocrine surgeons, general surgeons, and otolaryngologists may perform the operation in a hospital or other surgical facility. Common clinical settings include thyroid cancer, Graves disease, and multinodular goiter when treatment calls for removal of the full gland. The code describes thyroid removal, not a neck dissection for involved lymph nodes.
Choose 60240 when the operative report supports removal of the full thyroid rather than one lobe or a partial excision. Document the indication, the extent of gland removal, and any accompanying neck dissection so the appropriate thyroidectomy code can be selected. 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 other procedures are subject to the standard 50% reduction. The bilateral adjustment does not apply. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60240
- 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 RVU14.66 · 59%
- Practice expense (office) RVU7.15 · 29%
- Malpractice RVU3.03 · 12%
6.4K
Medicare services in 2024 · #1717 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.
60240 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 60252 when thyroidectomy for malignancy includes a limited neck dissection; 60240 describes thyroid removal without that bundled dissection scope.
No office rate
60254 is for thyroidectomy for malignancy with extensive neck dissection. The extent of the lymph node dissection, not simply the diagnosis of cancer, distinguishes it from 60240.
No office rate
60260 describes removal of the remaining thyroid tissue after an earlier partial removal. 60240 describes removal of the gland rather than a completion operation after prior thyroid surgery.
The same code, a different location
How does Delaware compare?
60240 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 · 60240
Office
Unavailable
Facility
$755.90
No comparable office rate is available.
Arkansas
Arkansas · 60240
Office
Unavailable
Facility
$746.92
No comparable office rate is available.
Arizona
Arizona · 60240
Office
Unavailable
Facility
$807.70
No comparable office rate is available.
Bakersfield
California · 60240
Office
Unavailable
Facility
$822.34
No comparable office rate is available.
Chico
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
El Centro
California · 60240
Office
Unavailable
Facility
$814.48
No comparable office rate is available.
Fresno
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Hanford-Corcoran
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Madera
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Merced
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Modesto
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Napa
California · 60240
Office
Unavailable
Facility
$886.68
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 60240
Office
Unavailable
Facility
$848.70
No comparable office rate is available.
Redding
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Rest Of California
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 60240
Office
Unavailable
Facility
$846.54
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 60240
Office
Unavailable
Facility
$839.27
No comparable office rate is available.
Salinas
California · 60240
Office
Unavailable
Facility
$835.87
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 60240
Office
Unavailable
Facility
$844.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 60240
Office
Unavailable
Facility
$919.36
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 60240
Office
Unavailable
Facility
$915.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 60240
Office
Unavailable
Facility
$942.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 60240
Office
Unavailable
Facility
$928.07
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 60240
Office
Unavailable
Facility
$824.24
No comparable office rate is available.
Santa Cruz-Watsonville
California · 60240
Office
Unavailable
Facility
$844.35
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 60240
Office
Unavailable
Facility
$836.07
No comparable office rate is available.
Santa Rosa-Petaluma
California · 60240
Office
Unavailable
Facility
$851.86
No comparable office rate is available.
Stockton
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Vallejo
California · 60240
Office
Unavailable
Facility
$881.72
No comparable office rate is available.
Visalia
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Yuba City
California · 60240
Office
Unavailable
Facility
$813.97
No comparable office rate is available.
Colorado
Colorado · 60240
Office
Unavailable
Facility
$828.67
No comparable office rate is available.
Connecticut
Connecticut · 60240
Office
Unavailable
Facility
$879.11
No comparable office rate is available.
Fort Lauderdale
Florida · 60240
Office
Unavailable
Facility
$914.56
No comparable office rate is available.
Rest Of Florida
Florida · 60240
Office
Unavailable
Facility
$870.08
No comparable office rate is available.
Atlanta
Georgia · 60240
Office
Unavailable
Facility
$855.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 60240
Office
Unavailable
Facility
$823.32
No comparable office rate is available.
Hawaii, Guam
Hawaii · 60240
Office
Unavailable
Facility
$819.79
No comparable office rate is available.
Iowa
Iowa · 60240
Office
Unavailable
Facility
$748.35
No comparable office rate is available.
Idaho
Idaho · 60240
Office
Unavailable
Facility
$757.24
No comparable office rate is available.
East St. Louis
Illinois · 60240
Office
Unavailable
Facility
$913.19
No comparable office rate is available.
Rest Of Illinois
Illinois · 60240
Office
Unavailable
Facility
$865.88
No comparable office rate is available.
Suburban Chicago
Illinois · 60240
Office
Unavailable
Facility
$917.68
No comparable office rate is available.
Indiana
Indiana · 60240
Office
Unavailable
Facility
$760.23
No comparable office rate is available.
Kansas
Kansas · 60240
Office
Unavailable
Facility
$756.55
No comparable office rate is available.
Kentucky
Kentucky · 60240
Office
Unavailable
Facility
$794.57
No comparable office rate is available.
New Orleans
Louisiana · 60240
Office
Unavailable
Facility
$829.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 60240
Office
Unavailable
Facility
$797.96
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 60240
Office
Unavailable
Facility
$884.95
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 60240
Office
Unavailable
Facility
$829.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 60240
Office
Unavailable
Facility
$878.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 60240
Office
Unavailable
Facility
$829.14
No comparable office rate is available.
Rest Of Maine
Maine · 60240
Office
Unavailable
Facility
$772.32
No comparable office rate is available.
Southern Maine
Maine · 60240
Office
Unavailable
Facility
$790.18
No comparable office rate is available.
Detroit
Michigan · 60240
Office
Unavailable
Facility
$890.75
No comparable office rate is available.
Rest Of Michigan
Michigan · 60240
Office
Unavailable
Facility
$821.96
No comparable office rate is available.
Minnesota
Minnesota · 60240
Office
Unavailable
Facility
$765.36
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 60240
Office
Unavailable
Facility
$812.78
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 60240
Office
Unavailable
Facility
$818.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 60240
Office
Unavailable
Facility
$794.09
No comparable office rate is available.
Mississippi
Mississippi · 60240
Office
Unavailable
Facility
$770.07
No comparable office rate is available.
Montana**
Montana · 60240
Office
Unavailable
Facility
$829.48
No comparable office rate is available.
North Carolina
North Carolina · 60240
Office
Unavailable
Facility
$777.14
No comparable office rate is available.
North Dakota**
North Dakota · 60240
Office
Unavailable
Facility
$769.56
No comparable office rate is available.
Nebraska
Nebraska · 60240
Office
Unavailable
Facility
$748.34
No comparable office rate is available.
New Hampshire
New Hampshire · 60240
Office
Unavailable
Facility
$826.82
No comparable office rate is available.
Northern Nj
New Jersey · 60240
Office
Unavailable
Facility
$905.62
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 60240
Office
Unavailable
Facility
$881.05
No comparable office rate is available.
New Mexico
New Mexico · 60240
Office
Unavailable
Facility
$830.20
No comparable office rate is available.
Nevada**
Nevada · 60240
Office
Unavailable
Facility
$813.02
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 60240
Office
Unavailable
Facility
$992.89
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 60240
Office
Unavailable
Facility
$895.65
No comparable office rate is available.
Queens
New York · 60240
Office
Unavailable
Facility
$949.21
No comparable office rate is available.
Rest Of New York
New York · 60240
Office
Unavailable
Facility
$787.68
No comparable office rate is available.
Ohio
Ohio · 60240
Office
Unavailable
Facility
$809.71
No comparable office rate is available.
Oklahoma
Oklahoma · 60240
Office
Unavailable
Facility
$781.56
No comparable office rate is available.
Portland
Oregon · 60240
Office
Unavailable
Facility
$838.11
No comparable office rate is available.
Rest Of Oregon
Oregon · 60240
Office
Unavailable
Facility
$798.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 60240
Office
Unavailable
Facility
$867.82
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 60240
Office
Unavailable
Facility
$804.53
No comparable office rate is available.
Puerto Rico
Puerto Rico · 60240
Office
Unavailable
Facility
$830.79
No comparable office rate is available.
Rhode Island
Rhode Island · 60240
Office
Unavailable
Facility
$835.93
No comparable office rate is available.
South Carolina
South Carolina · 60240
Office
Unavailable
Facility
$796.35
No comparable office rate is available.
South Dakota**
South Dakota · 60240
Office
Unavailable
Facility
$762.48
No comparable office rate is available.
Tennessee
Tennessee · 60240
Office
Unavailable
Facility
$761.09
No comparable office rate is available.
Austin
Texas · 60240
Office
Unavailable
Facility
$832.97
No comparable office rate is available.
Beaumont
Texas · 60240
Office
Unavailable
Facility
$801.00
No comparable office rate is available.
Brazoria
Texas · 60240
Office
Unavailable
Facility
$809.18
No comparable office rate is available.
Dallas
Texas · 60240
Office
Unavailable
Facility
$818.76
No comparable office rate is available.
Fort Worth
Texas · 60240
Office
Unavailable
Facility
$817.69
No comparable office rate is available.
Galveston
Texas · 60240
Office
Unavailable
Facility
$814.52
No comparable office rate is available.
Houston
Texas · 60240
Office
Unavailable
Facility
$869.98
No comparable office rate is available.
Rest Of Texas
Texas · 60240
Office
Unavailable
Facility
$807.68
No comparable office rate is available.
Utah
Utah · 60240
Office
Unavailable
Facility
$805.03
No comparable office rate is available.
Virginia
Virginia · 60240
Office
Unavailable
Facility
$795.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 60240
Office
Unavailable
Facility
$830.79
No comparable office rate is available.
Vermont
Vermont · 60240
Office
Unavailable
Facility
$777.30
No comparable office rate is available.
Rest Of Washington
Washington · 60240
Office
Unavailable
Facility
$824.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 60240
Office
Unavailable
Facility
$889.85
No comparable office rate is available.
Wisconsin
Wisconsin · 60240
Office
Unavailable
Facility
$749.61
No comparable office rate is available.
West Virginia
West Virginia · 60240
Office
Unavailable
Facility
$842.01
No comparable office rate is available.
Wyoming**
Wyoming · 60240
Office
Unavailable
Facility
$803.37
No comparable office rate is available.
See how rates vary across the country
60240 · 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 60240 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$900.94
$819.04 × 110% = $900.94
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 60240 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,702
- Code
- 60240
- Physician work
- 14.66
- Practice expense
- 7.15
- Malpractice
- 3.03
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.66 | × 1.005 | 14.7333 |
| Practice expense | 7.15 | × 0.988 | 7.0642 |
| Malpractice | 3.03 | × 0.899 | 2.7240 |
| Total RVUs | 24.5215 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$819.04
Open 60240 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.66 | 1.005 |
| Practice expense | 7.15 | 0.988 |
| Malpractice | 3.03 | 0.899 |
(14.66 × 1.005 + 7.15 × 0.988 + 3.03 × 0.899) × $33.4009 = $819.04
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
60240 · 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 | $819.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $819.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $819.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $819.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $892.91 | RVU25D |
| 2025-07-01 | Not available in this setting | $892.91 | RVU25C |
| 2025-04-01 | Not available in this setting | $892.91 | RVU25B |
| 2025-01-01 | Not available in this setting | $892.91 | RVU25A |
60240 billing questions
How is 60240 different from a thyroid lobectomy code?
Use 60240 when the operative report supports removal of the full thyroid gland. A lobectomy code describes removal of only one lobe or a partial amount of thyroid tissue.
Does 60240 include a neck dissection?
The code represents thyroid removal, not a neck dissection. When surgery for thyroid malignancy also includes lymph node dissection, compare the operative details with 60252 or 60254.
Should modifier 50 be added for removal of both thyroid lobes?
No. CMS identifies the bilateral adjustment as inapplicable to 60240; the code describes removal of the thyroid gland rather than separate bilateral procedures.
What documentation supports reporting 60240?
The operative report should establish the indication and the extent of thyroid tissue removed. It should also describe any neck dissection, since that may affect code selection.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Medicare applies the standard multiple procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
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.
6,69960212,,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
6,70460254,,Extensive thyroid surgery,A,,27.71,11.13,NA,11.13,,5.52,44.36,44.36,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70560260,,Repeat thyroid surgery,A,,17.80,7.77,NA,7.77,,3.47,29.04,29.04,0,090,0.09,0.82,0.09,2,1,2,1,0,9,,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