CPT 60220 Fee Schedule
Healthcare 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 • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 60220 |
National average reimbursement for CPT 60220 by major payers:
$891.25
$949.61
$1,023.02
$1,189.06
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 60220 | ||||||
United | 60220 | $2451.76 | 1699031039 - MELISSA WRIGHT | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 60220 | $2980.28 | 1982017166 - KATHLEEN BRIMSEK | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Hospitalist Physician (208M00000X) |
United | 60220 | $1945.26 | 1780847459 - JENNIFER CORLISS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | NY | Family Medicine Physician (207Q00000X) |
United | 60220 | $1088.00 | 1376692129 - STUART CARDON, CASCADE FOOT AND ANKLE PLLC | 205179809 - (WA) STUART CARDON DBA CASCADE FOOT & | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 60220 | $2385.69 | 1124660378 - KATHLEEN BROWN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Genetic Counselor (M.S.) (170300000X) |
United | 60220 | $515.00 | 1578536686 - DCA DIAGNOSTICS, LLC | 161710235 - (GA) DCA DIAGNOSTICS LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 60220 | $3039.88 | 1326402744 - ANNA ABRAMS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X) |
United | 60220 | $3039.88 | 1760073340 - KASSANDRA MAGIN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | IL | Certified Registered Nurse Anesthetist (367500000X) |
United | 60220 | $2980.28 | 1699753376 - RAJEEV VIBHAKAR | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 60220 | $1908.56 | 1982135745 - JAMES MAKINEN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Emergency Medicine Physician (207P00000X) |
United | 60220 | $1369.68 | 1023085511 - ROBERT VICKERMAN | 900733283 | CO | Surgery Physician (208600000X) |
United | 60220 | $1116.05 | 1235590456 - ALEX CLEM | 840255530 - (CO) SAN LUIS VALLEY REGIONAL MEDICAL CENTER | MD | Surgery Physician (208600000X) |
United | 60220 | $2378.35 | 1649664681 - KATHRYN MCKENNEY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Obstetrics & Gynecology Physician (207V00000X) |
United | 60220 | $2378.35 | 1700273869 - ALEXANDRA ATWOOD | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Epilepsy Physician (2084E0001X) |
United | 60220 | $6492.00 | 1962788059 - SURGCENTER OF SILVER SPRING, LLC | 452950933 - (MD) SURGCENTER OF SILVER SPRING LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 60220 vs. Other Surgical Procedures on the Endocrine System Codes
The CPT 60220 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 60220 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 60220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 60220 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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