CPT code 60271 is a medical code used to describe the procedure for the removal of the thyroid gland.
CPT code 60271 is for the surgical removal of the thyroid gland via an open neck procedure, typically performed when indicated by conditions such as thyroid cancer or multinodular goiter.
For CPT code 60271, which involves the removal of the thyroid, 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. Documentation must support the substantial additional work and the reason for it.
2. Modifier 50 - Bilateral Procedure: If the procedure is performed on both sides of the body, this modifier indicates that the procedure was performed bilaterally.
3. Modifier 51 - Multiple Procedures: This modifier is used when multiple procedures are performed during the same surgical session. It indicates that more than one procedure was performed.
4. Modifier 52 - Reduced Services: This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion.
5. Modifier 53 - Discontinued Procedure: This modifier is used when a procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
6. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
7. Modifier 62 - Two Surgeons: If two surgeons are required to perform the procedure, each surgeon should report the procedure with this modifier.
8. Modifier 66 - Surgical Team: This modifier is used when a complex procedure requires the skills of a surgical team.
9. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same physician repeats a procedure on the same day.
10. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when a procedure is repeated by another physician on the same day.
11. 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 used when a patient requires a return to the operating room for a related procedure during the postoperative period.
12. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when an unrelated procedure is performed by the same physician during the postoperative period.
13. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required during the procedure.
14. Modifier 81 - Minimum Assistant Surgeon: This modifier is used when a minimum assistant surgeon is required during the procedure.
15. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): This modifier is used when an assistant surgeon is required because a qualified resident surgeon is not available.
16. Modifier 99 - Multiple Modifiers: This modifier is used when two or more modifiers are necessary to describe the service provided.
Each modifier serves a specific purpose and should be used in accordance with the guidelines to ensure accurate billing and reimbursement. Proper documentation is essential to support the use of any modifier.
The CPT code 60271 is reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers for services rendered. However, the reimbursement for CPT code 60271 can vary based on several factors, including geographic location and specific Medicare Administrative Contractor (MAC) policies. MACs are private organizations contracted by Medicare to process claims and determine coverage specifics within their jurisdictions. Therefore, it is essential for healthcare providers to verify the reimbursement details with their respective MAC to ensure accurate billing and reimbursement for CPT code 60271.
Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With RevFind, you can effortlessly read your contracts and detect underpayments down to the CPT code level, including specific codes like 60271. Gain insights into individual payer discrepancies and take control of your revenue cycle. Schedule a demo today to see how RevFind can optimize your financial outcomes.