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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 60545 |
| Medicaid Fee Schedule | View Medicaid rates for 60545 |
National average reimbursement for CPT 60545 by major payers:

$1,673.70

$1,622.98

$1,685.43

$1,988.87
Choose a payer to see a sample of rates for CPT 60545.
Limestone Medical Center, Inc.
Northwest Orthopaedic Specialists, P.S.
Meah Asc Management LLC
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Rate Benchmarking
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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 60545 vs. Other Surgical Procedures on the Endocrine System Codes
The CPT 60545 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 60545 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 |
|---|---|---|
| 60520-CPT | High | Surgery To Remove Thymus, Surgery To Remove The Thymus. The Thymus Is A Gland Of The Immune System Located Just Above The Heart In The Chest. |
| 60521-CPT | High | Thymectomy Partial Or Total, Thymectomy Partial Or Total Sternal Split Or Transthoracicapproach Without Radical Mediastinal Dissection (Separate Procedure) |
| 60540-CPT | High | Adrenalectomy Partial Or Comp, Adrenalectomy Partial Or Complete Or Explorationofadrenal Gland With Or Without Biopsy Transabdo Minal Lumbar Or Dorsal (Separate Procedure) |
| 60545-CPT | High | Endocrine Surgery, Adrenalectomy Partial Or Complete Or Exploration Of Adrenal Gland With Or Without Biopsy Transabdominal Lumbar Or Dorsal (Separate Procedure) Unilateral; With Excision Of Adjacent Retroperitoneal Tumor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 60545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 60545 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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