No office rate
Choose 60605 when excision of the carotid body lesion includes removal of the carotid artery; 60600 describes lesion removal with the artery preserved.
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CMS RVU26D · Effective 2026-10-01
60600 Carotid body excision Medicare reimbursement rates in Wyoming
Surgical removal of a carotid body lesion while preserving the carotid artery, typically for a paraganglioma at the carotid bifurcation. Compare 60600 office and facility rates across CMS payment localities in Wyoming.
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 60600 in Wyoming?
Wyoming 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
$1175.51
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 surgery
About 60600: Carotid body lesion excision
Surgical removal of a carotid body lesion while preserving the carotid artery, typically for a paraganglioma at the carotid bifurcation.
The carotid body sits at the division of the common carotid artery. This operation removes a lesion arising there, commonly a carotid body paraganglioma, through careful dissection around the carotid vessels. Vascular surgeons and head and neck surgeons typically perform it in an operating room. The defining feature for this code is removal of the lesion without excising the carotid artery.
Report 60600 when the operative record supports lesion excision with the carotid artery preserved; use 60605 when the artery is excised. Documentation should identify the carotid body lesion and describe the extent of dissection and whether artery removal occurred. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 60600
- 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 RVU24.46 · 67%
- Practice expense (office) RVU6.59 · 18%
- Malpractice RVU5.60 · 15%
195
Medicare services in 2024 · #4344 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.
60600 compared with similar codes
Office rates for Wyoming, from the same CMS release.
60699
No office rateUnlisted px endocrine system
Use 60600 for the described carotid body lesion operation. Consider the unlisted code only when the actual procedure is not represented by a specific listed code.
Compare 60600 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1175.51
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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 60600 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,723
- Code
- 60600
- Physician work
- 24.46
- Practice expense
- 6.59
- Malpractice
- 5.60
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.46 | × 1.000 | 24.4600 |
| Practice expense | 6.59 | × 1.000 | 6.5900 |
| Malpractice | 5.60 | × 0.740 | 4.1440 |
| Total RVUs | 35.1940 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1175.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.46 | 1 |
| Practice expense | 6.59 | 1 |
| Malpractice | 5.6 | 0.74 |
(24.46 × 1 + 6.59 × 1 + 5.6 × 0.74) × $33.4009 = $1175.51
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.
60600 billing questions
How do I distinguish 60600 from 60605?
Use 60600 when the carotid body lesion is removed without excising the carotid artery. When the operation includes excision of the artery, the related code is 60605.
Can modifier 50 be reported for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
6,72060522,,Removal of thymus gland,A,,22.89,10.38,NA,10.38,,5.66,38.93,38.93,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72160540,,Explore adrenal gland,A,,17.57,8.72,NA,8.72,,3.98,30.27,30.27,0,090,0.09,0.82,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72260545,,Explore adrenal gland,A,,20.41,9.87,NA,9.87,,4.88,35.16,35.16,0,090,0.09,0.82,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72360600,,Remove carotid body lesion,A,,24.46,6.59,NA,6.59,,5.60,36.65,36.65,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,72460605,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,