No office rate
60210 describes partial removal of one thyroid lobe. Choose it when the operative extent is a lobectomy rather than excision limited to a cyst or adenoma, or division of the isthmus.
On this page
CMS RVU26D · Effective 2026-10-01
60200 Thyroid surgery Medicare reimbursement rates in Missouri
Reports operative removal of a thyroid cyst or adenoma, or division of the thyroid isthmus, when surgery is limited to that service. Compare 60200 office and facility rates across CMS payment localities in Missouri.
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 60200 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$588.48–$610.82
3 of 3 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.
Where 60200 pays more and less in Missouri
Endocrine surgery
About 60200: Thyroid lesion excision or isthmus division
Reports operative removal of a thyroid cyst or adenoma, or division of the thyroid isthmus, when surgery is limited to that service.
This operation addresses a localized thyroid cyst or adenoma, or involves dividing the isthmus, the tissue bridge joining the thyroid lobes. An endocrine or head-and-neck surgeon typically performs it in an operating room. The operative report should identify the lesion or isthmus work and describe what thyroid tissue was removed or divided. A procedure that removes a thyroid lobe or more extensive gland tissue is selected according to its extent rather than reported as a focal lesion excision.
This code has a 90-day global period: the day-before preoperative visit and related postoperative care through 90 days are included. 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% multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60200
- 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 RVU9.77 · 52%
- Practice expense (office) RVU6.80 · 37%
- Malpractice RVU2.04 · 11%
1K
Medicare services in 2024 · #2932 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.
60200 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
60220 describes removal of one thyroid lobe. It is distinguished by the extent of gland removal, not simply by the presence of a thyroid lesion.
No office rate
60280 concerns a thyroglossal duct lesion, not a cyst or adenoma within the thyroid gland. Confirm the lesion's anatomic origin in the operative documentation.
Compare 60200 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$606.17
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$610.82
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$588.48
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60200 billing questions
How is this different from a thyroid lobectomy code?
Use this code for the specified cyst or adenoma excision or isthmus division. When the operation removes a thyroid lobe, select the code that reflects the documented extent of gland removal.
Can this code be reported with a more extensive thyroid removal?
The operative report should establish whether the service was a focal lesion excision or part of a larger thyroid resection. When multiple procedures are performed in the same session, the standard multiple-procedure reduction applies to the additional procedure or procedures.
What documentation supports reporting this code?
Document the thyroid lesion or isthmus treated, the operative approach, and the tissue actually excised or divided. The report should make clear whether a lobe or a larger portion of the gland was removed.
Are routine postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days.
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.
6,69360100,,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
6,6976020F,,Npo (nothing-mouth) ordered,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
6,69860210,,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