CPT® Code 60254

The procedure described by CPT® Code 60254 involves a total or subtotal thyroidectomy performed specifically for malignancy, accompanied by a radical neck dissection. The thyroid gland, which is situated in the neck, consists of two lobes connected by a central isthmus. A total thyroidectomy entails the complete removal of the thyroid gland, while a subtotal thyroidectomy involves the excision of one lobe, the isthmus, and a significant portion of the contralateral lobe. This surgical intervention is typically indicated in cases of thyroid cancer, where the malignancy necessitates extensive removal of thyroid tissue to ensure complete excision of cancerous cells. The procedure begins with an incision in the neck, allowing access to the thyroid gland. During the operation, critical structures such as the recurrent laryngeal nerve and parathyroid glands are carefully identified and preserved to minimize complications. Following the thyroidectomy, a radical neck dissection is performed, which involves the removal of lymph nodes and surrounding tissues in the neck to address potential metastasis. This comprehensive approach aims to achieve both local control of the malignancy and to prevent further spread of cancerous cells.