No office rate
60220 covers complete removal of one lobe, with or without the isthmus. Choose 60225 when a subtotal resection is also performed on the opposite side.
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CMS RVU26D · Effective 2026-10-01
60225 Thyroid surgery Medicare reimbursement rates in Massachusetts
Reports complete removal of one thyroid lobe with partial removal of the opposite lobe, such as for bilateral nodular thyroid disease. Compare 60225 office and facility rates across CMS payment localities in Massachusetts.
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 60225 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$851.78–$911.03
2 of 2 localities have a supported rate.
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 60225: Total thyroid lobectomy with opposite-side subtotal resection
Reports complete removal of one thyroid lobe with partial removal of the opposite lobe, such as for bilateral nodular thyroid disease.
The surgeon removes an entire thyroid lobe and part, but not all, of the lobe on the other side. This operation may be selected for bilateral nodular disease when the planned resection differs between sides. It is generally performed in an operating room by a surgeon treating thyroid disease, often in a hospital or other facility setting.
Report one unit for the combined operation, supported by an operative note identifying the side and extent of resection on each side. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 60225
- 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 RVU14.42 · 57%
- Practice expense (office) RVU8.11 · 32%
- Malpractice RVU2.90 · 11%
227
Medicare services in 2024 · #4214 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.
60225 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Both codes include subtotal resection on the opposite side. 60212 has partial removal on the first side, while 60225 has complete removal there.
No office rate
60240 represents removal of the entire thyroid. 60225 leaves thyroid tissue on the side treated with a subtotal resection.
Compare 60225 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$911.03
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$851.78
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60225 billing questions
How does this differ from 60220?
60220 describes complete removal of one thyroid lobe, with or without the isthmus. Use 60225 when the opposite lobe is also partially removed.
When is 60212 a closer fit?
60212 describes partial removal on one side with subtotal removal on the opposite side. The distinction is whether the first-side lobectomy is total or partial.
Should modifier 50 be appended because both sides are operated on?
No. CMS identifies bilateral adjustment as inappropriate for this code; the opposite-side resection is already part of the described operation.
What should the operative note document?
Document which lobe was completely removed and how much thyroid tissue was removed from the opposite lobe. This supports choosing 60225 rather than a one-sided or partial-lobectomy code.
How is the 90-day global period applied?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
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.
6,69860210,,Partial thyroid excision,A,,10.95,6.15,NA,6.15,,2.28,19.38,19.38,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,69960212,,Partial thyroid excision,A,,16.02,8.83,NA,8.83,,4.28,29.13,29.13,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70060220,,Partial removal of thyroid,A,,10.91,6.13,NA,6.13,,2.13,19.17,19.17,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70160225,,Partial removal of thyroid,A,,14.42,8.11,NA,8.11,,2.90,25.43,25.43,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70260240,,Removal of thyroid,A,,14.66,7.15,NA,7.15,,3.03,24.84,24.84,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70360252,,Removal of thyroid,A,,21.46,9.56,NA,9.56,,4.27,35.29,35.29,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70460254,,Extensive thyroid surgery,A,,27.71,11.13,NA,11.13,,5.52,44.36,44.36,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00