No office rate
Use 60540 for an open adrenalectomy. Use 60650 when the adrenal gland is removed laparoscopically.
On this page
CMS RVU26D · Effective 2026-10-01
60650 Adrenalectomy Medicare reimbursement rates in Iowa
Reports laparoscopic removal of an adrenal gland for a hormonally active or otherwise concerning lesion, with a 90-day surgical global period. Compare 60650 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 60650 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
No supported rate
Facility setting
$987.86
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.
Endocrine surgery
About 60650: Laparoscopic adrenal gland removal
Reports laparoscopic removal of an adrenal gland for a hormonally active or otherwise concerning lesion, with a 90-day surgical global period.
This service covers removal of an adrenal gland using a camera and instruments through small incisions. It is commonly performed by endocrine, urologic, or general surgeons in a hospital operating room for a hormonally active lesion, such as a pheochromocytoma or aldosterone-producing adenoma, or for a lesion requiring removal based on imaging and clinical assessment.
Report 60650 when the adrenalectomy is performed laparoscopically. The operative report should identify the gland and side, the laparoscopic approach, and the extent of removal. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. If both glands are removed in the same session, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Medicare may pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60650
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU20.21 · 61%
- Practice expense (office) RVU8.24 · 25%
- Malpractice RVU4.60 · 14%
2.3K
Medicare services in 2024 · #2356 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.
60650 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
60545 describes adrenalectomy with excision of an adjacent retroperitoneal tumor using an open approach; 60650 describes laparoscopic adrenalectomy.
60659
No office rateUnlisted laps px endoc sys
60659 is for a laparoscopic endocrine procedure without a specific listed code. Use 60650 for a laparoscopic adrenalectomy.
Compare 60650 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
Unavailable
Facility
$987.86
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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 60650 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,725
- Code
- 60650
- Physician work
- 20.21
- Practice expense
- 8.24
- Malpractice
- 4.60
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.21 | × 1.000 | 20.2100 |
| Practice expense | 8.24 | × 0.915 | 7.5396 |
| Malpractice | 4.60 | × 0.397 | 1.8262 |
| Total RVUs | 29.5758 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$987.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.21 | 1 |
| Practice expense | 8.24 | 0.915 |
| Malpractice | 4.6 | 0.397 |
(20.21 × 1 + 8.24 × 0.915 + 4.6 × 0.397) × $33.4009 = $987.86
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.
60650 billing questions
How does 60650 differ from an open adrenalectomy code?
Use 60650 when the adrenal gland is removed laparoscopically. An open approach is represented by a different adrenalectomy code.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
How is bilateral adrenalectomy reported?
When both adrenal glands are removed in the same session, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens 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.
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.
6,72260545,,Explore adrenal gland,A,,20.41,9.87,NA,9.87,,4.88,35.16,35.16,0,090,0.09,0.82,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72360600,,Remove carotid body lesion,A,,24.46,6.59,NA,6.59,,5.60,36.65,36.65,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72460605,,Remove carotid body lesion,A,,31.16,5.78,NA,5.78,,7.97,44.91,44.91,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72560650,,Laparoscopy adrenalectomy,A,,20.21,8.24,NA,8.24,,4.60,33.05,33.05,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72660659,,Unlisted laps px endoc sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72760660,,Abltj 1/+thyr ndul 1lobe prq,A,,5.61,70.39,,1.78,,0.95,76.95,8.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72860661,,Abltj 1/+thyr ndul addl prq,A,,4.14,7.42,,0.87,,0.69,12.25,5.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,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