60254 Extensive thyroid surgery
Also known as: total thyroidectomy, complete thyroidectomy, thyroid resection with lymphadenectomy
Extensive or complete thyroidectomy with removal of the entire thyroid gland including isthmus, sometimes with management of cervical lymph nodes for thyroid cancer.
In Plain Language
complete thyroid removal; removal of entire thyroid gland
Clinical Context
Performed for thyroid cancer, diffuse Graves' disease, extensive multinodular goiter, or severe hyperthyroidism requiring complete ablation. Requires lifelong thyroid hormone replacement.
RVU Breakdown
| Work RVU | 27.71 |
| Total RVU | 27.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.71, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 60254?
CPT 60254 (Extensive thyroid surgery) is a Surgery code. Extensive or complete thyroidectomy with removal of the entire thyroid gland including isthmus, sometimes with management of cervical lymph nodes for thyroid cancer.
What is the wRVU value for CPT 60254?
The work RVU for CPT 60254 is 27.71. This code is primarily used by endocrine surgery, general surgery, head and neck surgery. It has a 90-day global period.
When is CPT 60254 used?
Performed for thyroid cancer, diffuse Graves' disease, extensive multinodular goiter, or severe hyperthyroidism requiring complete ablation. Requires lifelong thyroid hormone replacement.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.