CPT code 60260 is a medical code used to identify and describe repeat thyroid surgery procedures for healthcare providers.
CPT code 60260 is used to indicate that a thyroid surgery is being performed for a patient who has already undergone a previous thyroid operation.
For CPT code 60260, which pertains to repeat thyroid surgery, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: This modifier is used when the work required to perform the procedure is substantially greater than typically required. For example, if the repeat thyroid surgery is more complex due to scar tissue or anatomical variations, Modifier 22 may be appropriate.
2. Modifier 51 - Multiple Procedures: If the repeat thyroid surgery is performed in conjunction with other procedures during the same surgical session, Modifier 51 should be used to indicate multiple procedures.
3. Modifier 58 - Staged or Related Procedure or Service by the Same Physician During the Postoperative Period: This modifier is applicable if the repeat thyroid surgery is planned or anticipated as a staged procedure following the initial surgery.
4. Modifier 59 - Distinct Procedural Service: Use this modifier when the repeat thyroid surgery is distinct or independent from other services performed on the same day. It indicates that the procedure is not typically reported together but is appropriate under the circumstances.
5. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: This modifier is used when the same physician performs the repeat thyroid surgery within a short period due to a recurrence or complication.
6. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional: If a different physician performs the repeat thyroid surgery, Modifier 77 should be used to indicate this.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is applicable if the repeat thyroid surgery is unplanned and occurs during the postoperative period of the initial surgery due to complications.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if the repeat thyroid surgery is unrelated to the initial surgery and occurs during the postoperative period.
Each of these modifiers serves a specific purpose and should be used in accordance with the specific circumstances surrounding the repeat thyroid surgery to ensure accurate billing and reimbursement.
The CPT code 60260, which pertains to repeat thyroid surgery, is reimbursed by Medicare, provided that the procedure is deemed medically necessary and meets all coverage criteria. Reimbursement rates for this code can be found in the Medicare Physician Fee Schedule (MPFS), which outlines the payment amounts for services covered under Medicare Part B. It is important for healthcare providers to verify the specific reimbursement details with their respective Medicare Administrative Contractor (MAC), as these contractors are responsible for processing claims and can provide guidance on any regional variations or additional documentation requirements that may apply.
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