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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Endocrine System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 60100 |
| Medicaid Fee Schedule | View Medicaid rates for 60100 |
National average reimbursement for CPT 60100 by major payers:

$144.43

$147.57

$155.80

$134.05
Choose a payer to see a sample of rates for CPT 60100.
Merrimack Valley Pediatric Associates, Inc.
Mercy Medical Center
Good Samaritan Hosptial Medical Center
Healthy Heart Cardiology PC
Gentle Touch Medical PC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 60100 vs. Other Surgical Procedures on the Endocrine System Codes
The CPT 60100 code is part of the Surgery services used for Surgical Procedures on the Endocrine System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 60100 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 60100-CPT | Low | Thyroid Gland Needle Biopsy, A Procedure To Insert A Needle Into The Thyroid Gland In Order To Remove A Sample Of Tissue For Testing (Biopsy). |
| 60200-CPT | Moderate | Xcision Of Cyst Or Adenoma Of Thyroid Or Transecti Of Isthmus, Excision Of Cyst Or Adenoma Of Thyroid Or Transection Of Isthmus |
| 60210-CPT | Moderate | Partial Thyroid Lobectomy Unilat; W//W/O Isthmusectomy, Partial Thyroid Lobectomy Unilateral; With Or Without Isthmusectomy |
| 60212-CPT | High | Partial Thyroid Lobectomy Unilat; W/ Contralater Subtotal Lob, Partial Thyroid Lobectomy Unilateral; With Contralateral Subtotal Lob |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 60100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 60100 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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