Billing code 60540: Adrenal surgeryMedicare rate & RVUs in Florida
Reports open adrenal exploration, with or without biopsy, or partial or complete adrenal removal during operative treatment of an adrenal condition.
CMS doesn’t publish an office rate for 60540 in Florida.
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 9 sections
What 60540 covers
Code 60540 describes open operative exposure of an adrenal gland for assessment, with or without biopsy, or partial or complete removal. Surgeons may perform it for an adrenal mass or a hormonally active adrenal condition. It is typically performed in a hospital operating room by an endocrine or general surgeon, or another surgeon managing the adrenal disorder. The operative approach and extent of removal distinguish this service from laparoscopic adrenal surgery and more extensive adrenal resection.
Select the code from the operative report: document the side, open approach, whether the gland was explored or removed, and the extent of removal. If adjacent tissue is excised as part of a more extensive operation, compare the report with 60545. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require 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.
Where 60540 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,122.24 |
| Miami | Unavailable | $1,226.25 |
| Rest Of Florida | Unavailable | $1,065.10 |
How the 60540 rate is calculated
Each of 60540’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 · 60540
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 17.57Practice expense 8.72Malpractice 3.98
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 60540
60540 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 60540
Adrenal surgery
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 60540
Adrenal surgery
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 50 · payment effect
With and without the modifier
60540 without 50 · national facility
$1,011.05
Adrenal surgery
60540-50 · Bilateral: 150%
$1,516.58
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
60540 compared with similar codes
Compare codes
60540 vs 60545 vs 60650 vs 60500: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 60545Adrenalectomy
- 60540 covers open exploration or partial or complete adrenal removal; 60545 is for the more extensive operation that also excises adjacent tissue.
- 60650Adrenalectomy
- 60650 describes laparoscopic adrenal exploration or removal. Use 60540 for the open approach.
- 60500Parathyroid surgery
- 60500 concerns exploration of the parathyroid glands, not an adrenal operation. Select by the gland treated, not the similar exploration wording.
60540 billing questions
Does an adrenal biopsy change the code selection?
No. Exploration of the adrenal gland with or without biopsy is included in 60540; choose based on the operative approach and whether the gland was removed.
When should 60545 be considered instead?
Use 60545 when the adrenal operation includes excision of adjacent tissue as part of a more extensive resection. The operative report should establish that added extent.
How is a bilateral adrenal procedure reported?
CMS identifies 60540 as bilateral eligible: modifier 50 is paid at 150% when the procedure is performed bilaterally.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; CMS does not permit team-surgery payment for this code.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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