No office rate
60220 describes removal of one thyroid lobe; 60240 is selected when the full gland is removed.
On this page
CMS RVU26D · Effective 2026-10-01
60240 Thyroidectomy Medicare reimbursement rates in Massachusetts
Reports surgical removal of the thyroid gland, commonly for thyroid cancer, Graves disease, or multinodular goiter when the full gland is removed. Compare 60240 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 60240 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
$829.63–$884.95
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 60240: Total thyroid gland removal
Reports surgical removal of the thyroid gland, commonly for thyroid cancer, Graves disease, or multinodular goiter when the full gland is removed.
A surgeon removes the thyroid gland, typically both lobes and the isthmus, through a neck incision. Endocrine surgeons, general surgeons, and otolaryngologists may perform the operation in a hospital or other surgical facility. Common clinical settings include thyroid cancer, Graves disease, and multinodular goiter when treatment calls for removal of the full gland. The code describes thyroid removal, not a neck dissection for involved lymph nodes.
Choose 60240 when the operative report supports removal of the full thyroid rather than one lobe or a partial excision. Document the indication, the extent of gland removal, and any accompanying neck dissection so the appropriate thyroidectomy code can be selected. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The bilateral adjustment does not apply. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60240
- 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 RVU14.66 · 59%
- Practice expense (office) RVU7.15 · 29%
- Malpractice RVU3.03 · 12%
6.4K
Medicare services in 2024 · #1717 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.
60240 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Use 60252 when thyroidectomy for malignancy includes a limited neck dissection; 60240 describes thyroid removal without that bundled dissection scope.
No office rate
60254 is for thyroidectomy for malignancy with extensive neck dissection. The extent of the lymph node dissection, not simply the diagnosis of cancer, distinguishes it from 60240.
No office rate
60260 describes removal of the remaining thyroid tissue after an earlier partial removal. 60240 describes removal of the gland rather than a completion operation after prior thyroid surgery.
Compare 60240 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
$884.95
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$829.63
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
60240 billing questions
How is 60240 different from a thyroid lobectomy code?
Use 60240 when the operative report supports removal of the full thyroid gland. A lobectomy code describes removal of only one lobe or a partial amount of thyroid tissue.
Does 60240 include a neck dissection?
The code represents thyroid removal, not a neck dissection. When surgery for thyroid malignancy also includes lymph node dissection, compare the operative details with 60252 or 60254.
Should modifier 50 be added for removal of both thyroid lobes?
No. CMS identifies the bilateral adjustment as inapplicable to 60240; the code describes removal of the thyroid gland rather than separate bilateral procedures.
What documentation supports reporting 60240?
The operative report should establish the indication and the extent of thyroid tissue removed. It should also describe any neck dissection, since that may affect code selection.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Medicare applies the standard multiple procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
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.
6,69960212,,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
6,70560260,,Repeat thyroid surgery,A,,17.80,7.77,NA,7.77,,3.47,29.04,29.04,0,090,0.09,0.82,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00