$374.36–$397.31
Use 60660 for the first treated lobe or the isthmus; 60661 describes treatment of an additional lobe in the same session.
On this page
CMS RVU26D · Effective 2026-10-01
60660 Thyroid ablation Medicare reimbursement rates in Missouri
Reports image-guided percutaneous ablation of one or more thyroid nodules in a single lobe or the isthmus, including the imaging guidance. Compare 60660 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 60660 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
$2244.92–$2457.41
3 of 3 localities have a supported rate.
Facility setting
$269.53–$275.77
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 60660 pays more and less in Missouri
3 payment localities
$2244.92 to $2457.41
Endocrine procedure
About 60660: Percutaneous thyroid nodule ablation
Reports image-guided percutaneous ablation of one or more thyroid nodules in a single lobe or the isthmus, including the imaging guidance.
This service treats one or more thyroid nodules in a single thyroid lobe or the isthmus through a percutaneous approach. It is commonly performed by an interventional radiologist, endocrinologist, or thyroid surgeon using imaging to guide placement of the ablation device. Clinical settings include treatment of symptomatic benign nodules or selected functioning nodules when ablation is chosen instead of thyroid surgery. The code includes the imaging guidance for the ablation, so that guidance is not separately reported as a separate service under this code.
Report one unit for treatment of one lobe or the isthmus, even when multiple nodules in that area are treated. Documentation should identify the treated site, the nodules addressed, the percutaneous ablation performed, and the imaging used to guide it. For an additional lobe treated in the same session, 60661 is the related add-on code; modifier 50 is inappropriate. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 60660
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.61 · 7%
- Practice expense (office) RVU70.39 · 91%
- Malpractice RVU0.95 · 1%
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.
60660 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
60200 describes partial surgical removal of thyroid tissue. Use 60660 when nodules are treated percutaneously by ablation instead.
No office rate
60220 is unilateral surgical removal of a thyroid lobe; 60660 treats nodules in a lobe without removing the lobe.
No office rate
60240 is total thyroid removal. 60660 is percutaneous ablation limited to one lobe or the isthmus.
Compare 60660 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
$2426.05
Facility
$274.21
Metropolitan St. Louis →
Office / nonfacility
$2457.41
Facility
$275.77
Rest Of Missouri →
Office / nonfacility
$2244.92
Facility
$269.53
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60660 billing questions
Can this code cover more than one nodule?
Yes. It covers ablation of one or more nodules in a single lobe or the isthmus; report one unit for that treated area.
How is ablation of both lobes reported?
Report 60660 for the first lobe or the isthmus and 60661 for an additional lobe. Do not use modifier 50.
Can imaging guidance be billed separately?
The imaging guidance for the percutaneous ablation is included in 60660. Do not separately report that guidance as a separate service under this code.
What documentation supports the service?
Document the treated lobe or isthmus, the nodule or nodules treated, the percutaneous ablation method, and the imaging used to guide the procedure.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 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.
6,72460605,,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
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