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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 |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery LT - Left side of body 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 60659 |
| Medicaid Fee Schedule | View Medicaid rates for 60659 |
National average reimbursement for CPT 60659 by major payers:

$1,575.64

$141.58

$1,725.00

$1,066.62
Choose a payer to see a sample of rates for CPT 60659.
Texas Health Harris Methodist Hospital Southwest Fort Worth
Potomac View Surgery Center LLC
Aesthetic Associates Inc Ps
Carolina Digestive Diseases
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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 60659 vs. Other Surgical Procedures on the Endocrine System Codes
The CPT 60659 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 60659 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 |
|---|---|---|
| 60650-CPT | High | Laparoscopy Adrenalectomy, Laparoscopy Surgical With Adrenalectomy Partial Or Complete Or Exploration Of Adrenal Gland With Or Without Biopsy Transabdominal Lumbar Or Dorsal |
| 60659-CPT | High | Unlisted Laparoscopy Procedure, Endocrine System |
| 60699-CPT | High | Unlisted Procedure Endocrine System |
| 61020-CPT | Low | Create Opening In Skull, A Procedure To Create An Opening Into The Skull Through A Previous Opening Or Implanted Tube (Catheter). The Procedure May Involve Injection Of Medication Through The Opening. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 60659. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 60659 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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