$123.00
Use 10005 for fine-needle aspiration biopsy with ultrasound guidance. Use 60100 for percutaneous needle tissue biopsy rather than an FNA service.
On this page
CMS RVU26D · Effective 2026-10-01
60100 Thyroid biopsy Medicare reimbursement rates in Kentucky
Report this procedure for percutaneous needle sampling of thyroid tissue, such as a nodule, when the service is not a fine-needle aspiration biopsy. Compare 60100 office and facility rates across CMS payment localities in Kentucky.
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 60100 in Kentucky?
Kentucky 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
$102.29
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$63.98
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 procedure
About 60100: Percutaneous thyroid needle biopsy
Report this procedure for percutaneous needle sampling of thyroid tissue, such as a nodule, when the service is not a fine-needle aspiration biopsy.
A clinician obtains thyroid tissue by passing a needle through the skin into a thyroid nodule or other focal abnormality. The procedure is commonly performed by an endocrinologist, radiologist, or surgeon in an office, outpatient department, or imaging suite. This code describes needle tissue biopsy; when the service is specifically fine-needle aspiration, use the applicable FNA code instead.
Report one service for the percutaneous thyroid biopsy and document the target, needle approach, tissue obtained, and any imaging guidance performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one 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 for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 60100
- 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 RVU1.52 · 47%
- Practice expense (office) RVU1.56 · 48%
- Malpractice RVU0.17 · 5%
3.8K
Medicare services in 2024 · #2036 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.
60100 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$93.50
Use 10021 for fine-needle aspiration biopsy without imaging guidance. The distinction is the FNA method, not simply the thyroid site.
No office rate
60200 describes surgical excision of a thyroid lesion, not percutaneous needle sampling. Choose it when the lesion is removed surgically.
Compare 60100 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
Kentucky →
Office / nonfacility
$102.29
Facility
$63.98
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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 60100 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,693
- Code
- 60100
- Physician work
- 1.52
- Practice expense
- 1.56
- Malpractice
- 0.17
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.52 | × 1.000 | 1.5200 |
| Practice expense | 1.56 | × 0.889 | 1.3868 |
| Malpractice | 0.17 | × 0.915 | 0.1556 |
| Total RVUs | 3.0624 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$102.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.52 | 1 |
| Practice expense | 1.56 | 0.889 |
| Malpractice | 0.17 | 0.915 |
(1.52 × 1 + 1.56 × 0.889 + 0.17 × 0.915) × $33.4009 = $102.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.52 | 1 |
| Practice expense | 0.27 | 0.889 |
| Malpractice | 0.17 | 0.915 |
(1.52 × 1 + 0.27 × 0.889 + 0.17 × 0.915) × $33.4009 = $63.98
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.
60100 billing questions
How is 60100 different from a thyroid FNA code?
60100 represents percutaneous needle biopsy for tissue sampling. Use the FNA code set when the service is specifically fine-needle aspiration, with the code determined in part by whether imaging guidance is included.
Can imaging guidance be reported separately?
The biopsy code does not describe imaging guidance. If guidance is performed and separately reportable, document the modality, guidance, and needle placement; ultrasound guidance may be reported with 76942 when its requirements are met.
What documentation supports 60100?
Record the thyroid target, percutaneous needle approach, tissue sampling performed, and the specimen submitted. Include the imaging guidance details when guidance is performed.
Does 60100 have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included in the procedure.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for 60100.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple procedure reduction. Co-surgeon and team-surgery reporting are 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.
6,69059899,,Unlisted px mat care&dlvr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,69160000,,I&d thyroglssl dux cst infct,A,,1.76,3.59,,2.35,,0.25,5.60,4.36,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,6926005F,,Care level rationale doc,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
6,69360100,,Biopsy of thyroid,A,,1.52,1.56,,0.27,,0.17,3.25,1.96,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,6946010F,,Dysphag test done b/4 eating,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
6,6956015F,,Dysphag test done b/4 eating,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
6,69660200,,Remove thyroid lesion,A,,9.77,6.80,NA,6.80,,2.04,18.61,18.61,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631