No office rate
Use 60220 when the whole lobe is removed. Use 60210 for partial removal of a lobe.
On this page
CMS RVU26D · Effective 2026-10-01
60220 Thyroid lobectomy Medicare reimbursement rates in Utah
Reports complete removal of one thyroid lobe, with or without the isthmus, while the operation leaves the opposite lobe in place. Compare 60220 office and facility rates across CMS payment localities in Utah.
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 60220 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$620.75
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
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.
Thyroid surgery
About 60220: Unilateral total thyroid lobectomy
Reports complete removal of one thyroid lobe, with or without the isthmus, while the operation leaves the opposite lobe in place.
This operation removes an entire thyroid lobe and may include the isthmus, the bridge of tissue between the lobes. The opposite lobe remains. Surgeons perform it for conditions such as a unilateral thyroid nodule requiring surgical treatment or disease confined to one lobe. It is generally performed in an operating room by an endocrine, general, or head and neck surgeon.
Report 60220 when the operative record supports removal of the whole lobe, rather than only part of it; removal of the isthmus may be included. The note should identify the side and extent of resection. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60220
- 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 RVU10.91 · 57%
- Practice expense (office) RVU6.13 · 32%
- Malpractice RVU2.13 · 11%
9.3K
Medicare services in 2024 · #1507 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.
60220 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
60225 includes total removal of one lobe and subtotal removal of the opposite lobe; 60220 describes removal of one lobe alone.
No office rate
60240 describes removal of the whole thyroid. 60220 removes one lobe and leaves the opposite lobe in place.
No office rate
60200 is for a thyroid lesion or cyst excision, not removal of an entire thyroid lobe.
Compare 60220 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.
1 of 1 payment localities
Utah →
Office / nonfacility
Unavailable
Facility
$620.75
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 60220 in Utah.
PPRRVU2026_Oct_nonQPP.csv
6,700
- Code
- 60220
- Physician work
- 10.91
- Practice expense
- 6.13
- Malpractice
- 2.13
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.91 | × 1.000 | 10.9100 |
| Practice expense | 6.13 | × 0.940 | 5.7622 |
| Malpractice | 2.13 | × 0.898 | 1.9127 |
| Total RVUs | 18.5849 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$620.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.91 | 1 |
| Practice expense | 6.13 | 0.94 |
| Malpractice | 2.13 | 0.898 |
(10.91 × 1 + 6.13 × 0.94 + 2.13 × 0.898) × $33.4009 = $620.75
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
60220 billing questions
How does 60220 differ from 60210?
60220 is for removal of the entire thyroid lobe. Use 60210 when the surgeon removes only part of the lobe.
Is removal of the isthmus included?
Yes. Removal of the isthmus may be part of the unilateral lobectomy reported with 60220; it does not by itself make the procedure a total thyroidectomy.
Can modifier 50 be used when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code. When the operation removes both lobes, select the code that describes the actual extent of thyroid removal instead.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens if another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction.
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.
6,6976020F,,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
6,70060220,,Partial removal of thyroid,A,,10.91,6.13,NA,6.13,,2.13,19.17,19.17,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,70160225,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985