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CMS RVU26D · Effective 2026-10-01

60254 Thyroidectomy Medicare reimbursement rates in Indiana

Reports complete thyroid removal for malignancy together with radical neck dissection, when both components are performed during the same operative service. Compare 60254 office and facility rates across CMS payment localities in Indiana.

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.

What does Medicare pay for 60254 in Indiana?

Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1359.76

1 of 1 localities have a supported rate.

Payment area: Indiana

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 60254 in your payment locality →

Endocrine surgery

About 60254: Total thyroidectomy with radical neck dissection

Reports complete thyroid removal for malignancy together with radical neck dissection, when both components are performed during the same operative service.

This service combines complete removal of the thyroid gland for malignancy with a radical neck dissection. It is typically performed by an otolaryngologist or head and neck surgeon in a hospital operating room. The operative report should establish the cancer indication, the extent of thyroid removal, and the neck dissection performed; a thyroidectomy without the radical dissection does not match this service.

Select this code when the documented operation includes both components, rather than a total thyroidectomy alone or one accompanied by a limited neck dissection. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. A bilateral payment adjustment does not apply.

CMS billing rules for 60254

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 RVU27.71 · 62%
  • Practice expense (office) RVU11.13 · 25%
  • Malpractice RVU5.52 · 12%

100

Medicare services in 2024 · #4886 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.

60254 compared with similar codes

Office rates for Indiana, from the same CMS release.

60252

Thyroidectomy

Malignancy, limited neck dissection

No office rate

Both involve thyroid removal for malignancy, but 60254 includes radical neck dissection; 60252 is for a limited neck dissection.

60240

Thyroidectomy

Total gland removal

No office rate

60240 describes total or complete thyroid removal without the radical neck dissection included in 60254.

60260

Thyroidectomy

Remaining tissue after prior removal

No office rate

60260 applies to a later operation removing thyroid tissue left after a previous partial thyroidectomy, not the combined initial cancer operation represented by 60254.

Compare 60254 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

  • Indiana →

    Office / nonfacility

    Unavailable

    Facility

    $1359.76

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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 60254 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

6,704

Code
60254
Physician work
27.71
Practice expense
11.13
Malpractice
5.52

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 60254 in Indiana
ComponentRVULocality factorAdjusted
Physician work27.71× 1.00027.7100
Practice expense11.13× 0.92710.3175
Malpractice5.52× 0.4862.6827
Total RVUs40.7102
Conversion factor× 33.4009

Facility rate, Indiana$1359.76

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work27.711
Practice expense11.130.927
Malpractice5.520.486

(27.71 × 1 + 11.13 × 0.927 + 5.52 × 0.486) × $33.4009 = $1359.76

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.

60254 billing questions

How does this differ from 60252?

60254 is selected when the malignancy operation includes a radical neck dissection. Code 60252 is for a total thyroidectomy for malignancy with a limited neck dissection.

Can I report the neck dissection separately?

The radical neck dissection is part of the service represented by 60254. Do not separately report the same dissection as an additional procedure.

When is 60240 a better choice?

Use 60240 for total or complete thyroid removal when the operation does not include the malignancy-related radical neck dissection represented by 60254.

What documentation supports 60254?

The operative report should identify malignancy as the indication and describe complete thyroid removal and the radical neck dissection actually performed.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 90-day global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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.

RVUs for 60254PPRRVU2026_Oct_nonQPP.csv, line 6,704 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet