No office rate
60540 describes adrenalectomy or exploration without the adjacent retroperitoneal tumor excision that distinguishes 60545.
On this page
CMS RVU26D · Effective 2026-10-01
60545 Adrenalectomy Medicare reimbursement rates in Michigan
Reports adrenal gland removal with excision of an adjacent retroperitoneal tumor, such as a pheochromocytoma, during the same operation. Compare 60545 office and facility rates across CMS payment localities in Michigan.
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 60545 in Michigan?
Michigan 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
$1166.72–$1274.65
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 60545: Adrenalectomy with adjacent tumor excision
Reports adrenal gland removal with excision of an adjacent retroperitoneal tumor, such as a pheochromocytoma, during the same operation.
This service covers removal of an adrenal gland together with an adjacent retroperitoneal tumor. A classic example is surgery for a pheochromocytoma involving the adrenal gland and nearby retroperitoneal tissue. It is generally performed by an endocrine, general, or urologic surgeon in an operating room. The operative report should identify the adrenal gland treated and describe the adjacent tumor removed as part of the procedure.
Choose this code when the operation includes both adrenalectomy and excision of the adjacent retroperitoneal tumor; adrenalectomy or adrenal exploration without that tumor excision is represented by 60540. The tumor excision is included in this service rather than separately reported as another adrenal procedure for the same operative work. CMS 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60545
- 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 RVU20.41 · 58%
- Practice expense (office) RVU9.87 · 28%
- Malpractice RVU4.88 · 14%
112
Medicare services in 2024 · #4790 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.
60545 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
60650 describes laparoscopic adrenalectomy or exploration. Select it for the laparoscopic service when its descriptor fits; 60545 identifies adrenalectomy with adjacent retroperitoneal tumor excision.
Compare 60545 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
Detroit →
Office / nonfacility
Unavailable
Facility
$1274.65
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1166.72
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60545 billing questions
When should I choose this code instead of 60540?
Use this code when adrenalectomy includes excision of an adjacent retroperitoneal tumor. Use 60540 for adrenalectomy or adrenal exploration without that adjacent tumor excision.
Can the adjacent tumor excision be reported separately?
The adjacent retroperitoneal tumor excision is part of this adrenal procedure. Do not separately report another adrenal procedure for the same operative work.
How is bilateral adrenal surgery reported?
When the service is performed bilaterally and reported with modifier 50, CMS pays it at 150%. The operative documentation should support treatment of both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,71960521,,Removal of thymus gland,A,,18.70,8.99,NA,8.99,,4.68,32.37,32.37,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72060522,,Removal of thymus gland,A,,22.89,10.38,NA,10.38,,5.66,38.93,38.93,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72160540,,Explore adrenal gland,A,,17.57,8.72,NA,8.72,,3.98,30.27,30.27,0,090,0.09,0.82,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72260545,,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