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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 24 - Ambulatory Surgical Center |
| Common Modifiers | None 80 - Assistant surgeon GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 60280 |
| Medicaid Fee Schedule | View Medicaid rates for 60280 |
National average reimbursement for CPT 60280 by major payers:

$575.14

$583.56

$645.48

$741.32
Choose a payer to see a sample of rates for CPT 60280.
Aurora Surgery Centers LLC
Rome Orthopaedic Clinic Asc Inc
Ridgecrest Specialty Surgery Center A Professional Corporation
Deaconess Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
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 60280 vs. Other Surgical Procedures on the Endocrine System Codes
The CPT 60280 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 60280 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 |
|---|---|---|
| 60000-CPT | Moderate | I & D Thyroglossal Cyst, Infected |
| 60280-CPT | Moderate | Excision Of Thyroglossal Duct Cystor Si |
| 60281-CPT | Moderate | Exc Thyroglossal Duct Cyst Repeat |
| 60300-CPT | Low | Treat Cyst Of Thyroid Gland, Treatment To Remove A Fluid-Filled Pocket (Cyst) From The Thyroid Gland. The Cyst May Be Injected Or The Fluid May Be Drained With A Needle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 60280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 60280 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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