Billing code 60545: AdrenalectomyMedicare rate & RVUs in Illinois
Reports adrenal gland removal with excision of an adjacent retroperitoneal tumor, such as a pheochromocytoma, during the same operation.
CMS doesn’t publish an office rate for 60545 in Illinois.
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 60545 covers
This service covers removal of an adrenal gland together with an adjacent retroperitoneal tumor. A classic example is surgery for a pheochromocytoma involving the adrenal gland and nearby retroperitoneal tissue. It is generally performed by an endocrine, general, or urologic surgeon in an operating room. The operative report should identify the adrenal gland treated and describe the adjacent tumor removed as part of the procedure.
Choose this code when the operation includes both adrenalectomy and excision of the adjacent retroperitoneal tumor; adrenalectomy or adrenal exploration without that tumor excision is represented by 60540. The tumor excision is included in this service rather than separately reported as another adrenal procedure for the same operative work. CMS 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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.
Where 60545 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $1,391.88 |
| East St. Louis | Unavailable | $1,313.28 |
| Rest Of Illinois | Unavailable | $1,237.46 |
| Suburban Chicago | Unavailable | $1,313.88 |
How the 60545 rate is calculated
Each of 60545’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 · 60545
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 20.41Practice expense 9.87Malpractice 4.88
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 60545
60545 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 60545
Adrenalectomy
| 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 · 60545
Adrenalectomy
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
60545 without 50 · national facility
$1,174.38
Adrenalectomy
60545-50 · Bilateral: 150%
$1,761.57
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).
60545 compared with similar codes
Compare codes
60545 vs 60540 vs 60650: national Medicare rates
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How to choose
- 60540Adrenal surgery
- 60540 describes adrenalectomy or exploration without the adjacent retroperitoneal tumor excision that distinguishes 60545.
- 60650Adrenalectomy
- 60650 describes laparoscopic adrenalectomy or exploration. Select it for the laparoscopic service when its descriptor fits; 60545 identifies adrenalectomy with adjacent retroperitoneal tumor excision.
60545 billing questions
When should I choose this code instead of 60540?
Use this code when adrenalectomy includes excision of an adjacent retroperitoneal tumor. Use 60540 for adrenalectomy or adrenal exploration without that adjacent tumor excision.
Can the adjacent tumor excision be reported separately?
The adjacent retroperitoneal tumor excision is part of this adrenal procedure. Do not separately report another adrenal procedure for the same operative work.
How is bilateral adrenal surgery reported?
When the service is performed bilaterally and reported with modifier 50, CMS pays it at 150%. The operative documentation should support treatment of both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
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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