Billing code 60660: Thyroid ablationMedicare rate & RVUs in Oklahoma
Reports image-guided percutaneous ablation of one or more thyroid nodules in a single lobe or the isthmus, including the imaging guidance.
Medicare pays $2,311.56 for 60660 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 60660 covers
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.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $2,311.56 | $265.13 |
How the 60660 rate is calculated
Each of 60660’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 60660
RVUs × geographic indexes × conversion factor
Work5.61
5.61 RVUs× 1.000 GPCI
Practice expense70.39
70.39 RVUs× 1.000 GPCI
Malpractice0.95
0.95 RVUs× 1.000 GPCI
Adjusted RVUs
76.9500
Conversion factor
$33.4009
Medicare rate
$2,570.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 60660
The CMS indicators that decide how 60660 is paid alongside other services.
CMS payment indicators · 60660
Thyroid ablation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
60660 without 51 · national office
$2,570.20
Thyroid ablation
60660-51 · Second procedure: 50%
$1,285.10
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
60660 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 60661Nodule ablation
- Use 60660 for the first treated lobe or the isthmus; 60661 describes treatment of an additional lobe in the same session.
- 60200Thyroid surgery
- 60200 describes partial surgical removal of thyroid tissue. Use 60660 when nodules are treated percutaneously by ablation instead.
- 60220Thyroid lobectomy
- 60220 is unilateral surgical removal of a thyroid lobe; 60660 treats nodules in a lobe without removing the lobe.
- 60240Thyroidectomy
- 60240 is total thyroid removal. 60660 is percutaneous ablation limited to one lobe or the isthmus.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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