$122.12
Use 60300 for aspiration or injection directed at treating a thyroid cyst. Use 10005 for image-guided fine-needle sampling to obtain cells for diagnosis.
On this page
CMS RVU26D · Effective 2026-10-01
60300 Cyst aspiration Medicare reimbursement rates in Iowa
Needle aspiration or injection of a thyroid cyst treats a fluid-filled lesion, such as one causing neck pressure or a visible lump. Compare 60300 office and facility rates across CMS payment localities in Iowa.
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 60300 in Iowa?
Iowa 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
$95.23
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$39.00
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Thyroid procedure
About 60300: Thyroid cyst aspiration or injection
Needle aspiration or injection of a thyroid cyst treats a fluid-filled lesion, such as one causing neck pressure or a visible lump.
Code 60300 covers needle evacuation of fluid from a cystic thyroid lesion and/or injection into the cyst. It is used when a thyroid cyst is being treated as a cyst, such as one causing neck pressure or a visible lump. An endocrinologist, thyroid surgeon, or radiologist may perform the procedure in an office or procedural setting. It is distinct from needle sampling performed to obtain cells or tissue for diagnosis.
Report the service when the documented target is a thyroid cyst and aspiration or injection is performed. Documentation should identify the lesion, describe the procedure, and state whether fluid was withdrawn or material was injected. The 0-day global period includes same-day preoperative and postoperative care. When another procedure is performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 60300
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.95 · 31%
- Practice expense (office) RVU2.03 · 66%
- Malpractice RVU0.11 · 4%
328
Medicare services in 2024 · #3927 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.
60300 compared with similar codes
Office rates for Iowa, from the same CMS release.
$100.70
60300 treats a thyroid cyst by aspiration or injection; 60100 is a percutaneous needle biopsy to obtain thyroid tissue.
No office rate
60300 uses a needle to aspirate or inject a thyroid cyst. 60200 describes surgical excision of a thyroid cyst or adenoma, or transection of the isthmus.
Compare 60300 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
Iowa →
Office / nonfacility
$95.23
Facility
$39.00
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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 60300 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,710
- Code
- 60300
- Physician work
- 0.95
- Practice expense
- 2.03
- Malpractice
- 0.11
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.95 | × 1.000 | 0.9500 |
| Practice expense | 2.03 | × 0.915 | 1.8574 |
| Malpractice | 0.11 | × 0.397 | 0.0437 |
| Total RVUs | 2.8511 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$95.23
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.95 | 1 |
| Practice expense | 2.03 | 0.915 |
| Malpractice | 0.11 | 0.397 |
(0.95 × 1 + 2.03 × 0.915 + 0.11 × 0.397) × $33.4009 = $95.23
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.95 | 1 |
| Practice expense | 0.19 | 0.915 |
| Malpractice | 0.11 | 0.397 |
(0.95 × 1 + 0.19 × 0.915 + 0.11 × 0.397) × $33.4009 = $39.00
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.
60300 billing questions
When should 60300 be used instead of a thyroid fine-needle aspiration code?
Use 60300 when the procedure treats a thyroid cyst by aspirating fluid or injecting the cyst. Use a fine-needle aspiration code when the purpose is to collect cells for diagnostic evaluation.
Does 60300 include aspiration, injection, or both?
The service covers aspiration and/or injection of the thyroid cyst. Document which action was performed; both may be described when both occurred.
Can modifier 50 be reported for cysts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's global period.
Can an assistant surgeon or co-surgeon be paid for this service?
Medicare does not pay an assistant at surgery for 60300, and co-surgeons and team surgery are not permitted.
What happens when 60300 is performed with another procedure in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure 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.
6,70760271,,Removal of thyroid,A,,17.18,7.69,NA,7.69,,3.46,28.33,28.33,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70860280,,Remove thyroid duct lesion,A,,6.01,5.33,NA,5.33,,0.93,12.27,12.27,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70960281,,Remove thyroid duct lesion,A,,8.60,5.87,NA,5.87,,1.26,15.73,15.73,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,71060300,,Aspir/inj thyroid cyst,A,,0.95,2.03,,0.19,,0.11,3.09,1.25,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,7116030F,,Max sterile barriers flwd,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
6,7126040F,,Appro rad ds dvcs techs docd,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
6,7136045F,,Radxps in end rprt4fluro pxd,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136