No office rate
Both involve thyroid removal for malignancy, but 60254 includes radical neck dissection; 60252 is for a limited neck dissection.
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CMS RVU26D · Effective 2026-10-01
60254 Thyroidectomy Medicare reimbursement rates in Massachusetts
Reports complete thyroid removal for malignancy together with radical neck dissection, when both components are performed during the same operative service. Compare 60254 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 60254 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
$1478.75–$1571.45
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 60254: Total thyroidectomy with radical neck dissection
Reports complete thyroid removal for malignancy together with radical neck dissection, when both components are performed during the same operative service.
This service combines complete removal of the thyroid gland for malignancy with a radical neck dissection. It is typically performed by an otolaryngologist or head and neck surgeon in a hospital operating room. The operative report should establish the cancer indication, the extent of thyroid removal, and the neck dissection performed; a thyroidectomy without the radical dissection does not match this service.
Select this code when the documented operation includes both components, rather than a total thyroidectomy alone or one accompanied by a limited neck dissection. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. A bilateral payment adjustment does not apply.
CMS billing rules for 60254
- 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 RVU27.71 · 62%
- Practice expense (office) RVU11.13 · 25%
- Malpractice RVU5.52 · 12%
100
Medicare services in 2024 · #4886 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.
60254 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
60240 describes total or complete thyroid removal without the radical neck dissection included in 60254.
No office rate
60260 applies to a later operation removing thyroid tissue left after a previous partial thyroidectomy, not the combined initial cancer operation represented by 60254.
Compare 60254 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
$1571.45
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1478.75
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60254 billing questions
How does this differ from 60252?
60254 is selected when the malignancy operation includes a radical neck dissection. Code 60252 is for a total thyroidectomy for malignancy with a limited neck dissection.
Can I report the neck dissection separately?
The radical neck dissection is part of the service represented by 60254. Do not separately report the same dissection as an additional procedure.
When is 60240 a better choice?
Use 60240 for total or complete thyroid removal when the operation does not include the malignancy-related radical neck dissection represented by 60254.
What documentation supports 60254?
The operative report should identify malignancy as the indication and describe complete thyroid removal and the radical neck dissection actually performed.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
6,70160225,,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
6,70660270,,Removal of thyroid,A,,22.62,9.48,NA,9.48,,4.69,36.79,36.79,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70760271,,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