$2,425.90
60660 reports the primary ablation, including the first nodule; 60661 reports each additional nodule treated in that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
60661 Nodule ablation Medicare reimbursement rates in Utah
Reports percutaneous image-guided ablation of each thyroid nodule beyond the first treated, in addition to primary procedure code 60660. Compare 60661 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 60661 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
$391.94
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$186.29
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.
Endocrine procedure
About 60661: Additional percutaneous thyroid nodule ablation
Reports percutaneous image-guided ablation of each thyroid nodule beyond the first treated, in addition to primary procedure code 60660.
This add-on describes treatment of an additional thyroid nodule during a percutaneous ablation procedure. Clinicians experienced in image-guided thyroid procedures, including interventional radiologists and endocrine surgeons, may treat symptomatic benign nodules that cause pressure or swallowing symptoms, or are cosmetically bothersome. Radiofrequency is a commonly used ablation method. Imaging guidance is part of the service.
Report 60661 for each additional nodule treated beyond the initial nodule reported with 60660. The procedure note should support the number of distinct nodules treated, their location, and the ablation performed. Because this is an add-on code, it is billed only with the primary procedure; CMS pays it within that procedure’s global period. Do not separately report imaging guidance included in the ablation service.
CMS billing rules for 60661
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.14 · 34%
- Practice expense (office) RVU7.42 · 61%
- Malpractice RVU0.69 · 6%
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.
60661 compared with similar codes
Office rates for Utah, from the same CMS release.
$126.94
10005 describes image-guided fine-needle aspiration for sampling a lesion. It is diagnostic sampling, not ablation of the nodule.
No office rate
60220 describes surgical removal of one thyroid lobe, while 60661 is an add-on for percutaneous ablation of an additional nodule.
Compare 60661 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
$391.94
Facility
$186.29
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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 60661 in Utah.
PPRRVU2026_Oct_nonQPP.csv
6,728
- Code
- 60661
- Physician work
- 4.14
- Practice expense
- 7.42
- Malpractice
- 0.69
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 7.42 | × 0.940 | 6.9748 |
| Malpractice | 0.69 | × 0.898 | 0.6196 |
| Total RVUs | 11.7344 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$391.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.14 | 1 |
| Practice expense | 7.42 | 0.94 |
| Malpractice | 0.69 | 0.898 |
(4.14 × 1 + 7.42 × 0.94 + 0.69 × 0.898) × $33.4009 = $391.94
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.14 | 1 |
| Practice expense | 0.87 | 0.94 |
| Malpractice | 0.69 | 0.898 |
(4.14 × 1 + 0.87 × 0.94 + 0.69 × 0.898) × $33.4009 = $186.29
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.
60661 billing questions
When is 60661 reported instead of 60660?
60660 reports the primary ablation, including the first nodule. Report 60661 for each additional nodule treated.
Can 60661 be billed by itself?
No. It is an add-on code and must be reported with primary procedure code 60660.
How many units of 60661 are reported?
Report one unit for each additional thyroid nodule ablated beyond the first. Document the distinct nodules treated.
Can imaging guidance be billed separately?
Imaging guidance is included in the ablation service described by this code, so it is not separately reported for that guidance.
What documentation supports 60661?
The procedure note should identify the number and location of the nodules treated and describe the percutaneous ablation performed.
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.
6,72560650,,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
6,72660659,,Unlisted laps px endoc sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72760660,,Abltj 1/+thyr ndul 1lobe prq,A,,5.61,70.39,,1.78,,0.95,76.95,8.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72860661,,Abltj 1/+thyr ndul addl prq,A,,4.14,7.42,,0.87,,0.69,12.25,5.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72960699,,Unlisted px endocrine system,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,7306070F,,Pt asked/cnsld aed effects,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
6,7316080F,,Pt/caregiver queried falls,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
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