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Official Description

Partial thyroid lobectomy, unilateral; with or without isthmusectomy

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 60210 refers to a partial thyroid lobectomy, which is a surgical operation involving the removal of a portion of one of the thyroid lobes. The thyroid gland is an essential endocrine organ located in the neck, composed of two lobes connected by a central isthmus. This procedure may be performed with or without the excision of the isthmus, depending on the specific clinical situation. A common indication for this surgery is the presence of a hot nodule, which is a hyperfunctioning thyroid nodule that can lead to hyperthyroidism. During the operation, the patient's neck is extended, and a transverse incision is made in the skin over the thyroid gland, typically following the natural creases of the neck to minimize scarring. Careful dissection through the subcutaneous tissue and the platysma muscle is performed, with particular attention to preserving the laryngeal nerve and the parathyroid glands, which are critical for maintaining voice and calcium balance, respectively. Once the thyroid gland is adequately exposed, a portion of the affected lobe is excised. If necessary, to ensure complete removal of diseased tissue, part of or the entire isthmus may also be removed. This procedure is less commonly performed compared to more extensive thyroid surgeries, but it is crucial for addressing specific thyroid conditions while preserving as much of the gland as possible.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure of partial thyroid lobectomy, as described by CPT® Code 60210, is indicated for specific thyroid conditions that necessitate surgical intervention. The following are the primary indications for performing this procedure:

  • Hot Nodule A hyperfunctioning thyroid nodule located in the upper or lower portion of one of the thyroid lobes that is causing hyperthyroidism.

2. Procedure

The surgical steps involved in a partial thyroid lobectomy are as follows:

  • Step 1: Patient Preparation The patient is positioned with the neck extended to provide optimal access to the thyroid gland. Anesthesia is administered to ensure the patient is comfortable and pain-free during the procedure.
  • Step 2: Incision A transverse skin incision is made over the thyroid gland, typically following the natural skin creases of the neck to minimize scarring. The incision is carefully carried down through the subcutaneous tissue and the platysma muscle.
  • Step 3: Exposure of the Thyroid Gland The surgeon meticulously dissects the tissue to expose the thyroid gland while taking care to protect the surrounding structures, including the laryngeal nerve and the parathyroid glands, which are vital for voice function and calcium regulation.
  • Step 4: Lobectomy A portion of one of the thyroid lobes is excised. If a wider margin is necessary to ensure complete removal of any diseased tissue, part of or the entire isthmus may also be excised during this step.
  • Step 5: Closure After the excision is complete, the neck incision is closed in layers to promote proper healing and minimize complications.

3. Post-Procedure

Following the partial thyroid lobectomy, patients are typically monitored for any immediate complications. Post-operative care may include pain management and monitoring for signs of bleeding or infection. Patients may also require follow-up appointments to assess recovery and thyroid function. The expected recovery time can vary, but many patients can resume normal activities within a few weeks, depending on individual healing and any additional treatments that may be necessary.

Short Descr PARTIAL THYROID EXCISION
Medium Descr PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY
Long Descr Partial thyroid lobectomy, unilateral; with or without isthmusectomy
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P1G - Major procedure - Other
MUE 1
CCS Clinical Classification 10 - Thyroidectomy, partial or complete
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
62 Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate.
66 Surgical team: under some circumstances, highly complex procedures (requiring the concomitant services of several physicians or other qualified health care professionals, often of different specialties, plus other highly skilled, specially trained personnel, various types of complex equipment) are carried out under the "surgical team" concept. such circumstances may be identified by each participating individual with the addition of modifier 66 to the basic procedure number used for reporting services.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
CR Catastrophe/disaster related
GA Waiver of liability statement issued as required by payer policy, individual case
GC This service has been performed in part by a resident under the direction of a teaching physician
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
SG Ambulatory surgical center (asc) facility service
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
1995-01-01 Added First appearance in code book in 1995.
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